Patient Referral Specialist

Patient Referral Specialist

About OrthoArizona :

At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and sports medicine needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists.

Today we are one of Arizona's largest privately owned and most comprehensive orthopedic practices with more than 75 locally and nationally renowned providers across 30 locations, in addition to in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our employees.

As a Patient Referral Specialist with OrthoArizona, you will get to :

• After receiving and reviewing referrals, call patients via the phone in a prompt, courteous and helpful manner, and route calls if applicable.
• Make sound decisions on how to best assist the patient based on their needs, presented questions, or issues.
• Collect important patient data to ensure ease of scheduling.
• Verify insurance is active, and update insurance information as needed prior to scheduling.
• Obtain prior authorization and / or referrals in accordance with patient insurance coverage for all patient office encounters and referral orders prior to services being rendered.
• Schedule appointments accurately in conjunction with provider protocols and patient's needs
• Have a deep understanding of the most up to date provider protocols and anticipate changes in protocols.
• Create patient note in the EMR with the correct medical terminology associated with issues the patient presented.
• Research and understand patient record for proper referral and / or imaging documentation, while answering related questions regarding patient charts.
• Accurately calculate any estimated patient out of pocket costs for services, communicate all out-of-pocket costs to patient, and collect prior to services being rendered.
• Meet individual quotas and key performance indicators (KPIs) as well as assist in accomplishing team goals.
• Continue to expand knowledge of practice management software as updates occur.
• Follow all Standard Operating Procedures.
• Understand / Perform training on practice management software.
• Other duties as assigned.

Qualifications :

Full Time Benefits :