Referral Specialist

Where You’ll Work

Hello Humankindness

Where Your Passion Meets Purpose: Join Dignity Health Medical Group

Are you a healthcare professional who believes that every patient deserves not just treatment, but unwavering compassion? Do you envision a world where healthcare isn't just a service, but a fundamental right, delivered with integrity and innovation? If so, then Dignity Health Medical Group (DHMG) is where your career finds its true calling.

At Dignity Health Medical Group, you're not just filling a role; you're becoming an architect of healthier communities. We are the employed physician group of Dignity Health Arizona, and our success isn't just measured in numbers, but in the lives we touch and the advancements we champion.

Here's what sets us apart and why you belong with us:

• Impact that Resonates: You'll be part of a team delivering comprehensive clinical services, making a tangible difference in the lives of countless individuals. From cutting-edge diagnostics to life-changing treatments, your expertise will directly contribute to improved health outcomes.
• A Culture of Growth and Innovation: We don't just practice medicine; we advance it.
• Shaping the Future of Healthcare: DHMG is deeply invested in preparing tomorrow's healthcare providers. We seamlessly blend clinical services with translational and bench research, creating a dynamic environment that augments medical education for residents and students.
• Values-Driven Mission: We are united by a powerful set of principles. If you are deeply committed to social justice, health equity, and are prepared to deliver care in new, innovative ways, your values align perfectly with ours. We believe that everyone, regardless of background, deserves access to high-quality healthcare, and we actively work to make that a reality.
• A Supportive and Collaborative Environment: We believe in building a strong, inclusive team where everyone feels valued and respected.

Are you ready to transcend the ordinary and join a healthcare family where your skills are celebrated, your voice is heard, and your passion for healing finds its ultimate expression?

If you're eager to contribute to an organization that is making a profound difference, where innovation meets compassion, and where your commitment to social justice and health equity will be not just welcomed, but celebrated – then Dignity Health Medical Group is waiting for you.

Job Summary and Responsibilities

As our Referral Specialist, you will orchestrate patient access to specialized care by expertly managing all referral and authorization processes.Every day, you will proactively obtain clearances for specialty visits, issue referrals for ancillary services (consults, imaging, labs), and secure approvals for medications, DME, home health, and other vital services.To be successful in this role, you will demonstrate meticulous attention to detail, strong organizational skills, and clear communication to ensure seamless and efficient service delivery for our patients.

• Resolves, pre-certification, registration and case-related concerns prior to a patients appointment. This includes interacting with patients, insurance carriers and various internal departments
• Identifies appropriate formularies for patient medication management or vendors for durable medical equipment requests and receives insurance approvals for patients
• Completes the referral process for a patient's ancillary, consultation, radiology or lab visit. The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments and notifying patients of progress
• Completes full registration in IDX when registering new patients. Ensure all patient information is updated/ current when following up/ interacting with patients. Verify insurance eligibility and benefits as appropriate for proposed services and procedures.
• Use GE Centricity and EMR systems according to policy & procedures, including patient registration, scheduling appointments, template oversight (as applicable), printing forms and schedules, and posting payments and charge reconciliation. Reports any systems issues timely, while effectively utilizing downtime procedures as needed.
• Ensures co-pays are collected via cash, check, or credit card transactions. Deposits/batches are prepared according to SJHMC/DHMG policies.

Job Requirements

Required

• High School Diploma or GED
• Two (2) years experience in a medical office or other healthcare environment
• American Heart Association Basic Life Support - BLS CPR

Preferred

• Experience with electronic data management program and EMR