Neighborhood Outreach Access to Health (NOAH) is looking for talented healthcare team members to step into our culturally diverse health centers! From Scottsdale to Glendale, NOAH provides affordable, high-quality healthcare services. Serving over 40,000 neighbors, our model of care places patients' needs at the center of attention as we deliver comprehensive health services including medical, dental, behavioral health, nutrition, prenatal care, preventive health, eligibility assistance and health education programs.
The Referrals Specialist coordinates specialty referrals incoming and outgoing, eligibility verification, and maintenance for practice patients.
Obtains patient information and referral request documentation, maintains patient files, verifies information, and reports statistics and data.
Compiles pertinent medical data and supporting documentation and sends to appropriate recipients.
Verifies eligibility, benefits, and contractual appropriateness.
Acts as liaison between practice, patients, referral sources, and health insurance companies to resolve complaints and problems.
Serves as expert internal consultant to all levels of practice staff.
Monitors and resolves the status of problem authorizations.
Compiles patient information in accordance with their insurance plan’s referral requirements.
Ensures prior approval requirements are met by contacting review organizations and insurance companies.
Ensures that patient's primary care chart is up to date with information on specialist consults related to their health.
Assists with training and orientation of new Referral Coordinator’s into practice.
Trains new Referral Coordinator employees on correct policies and procedures as needed.
Obtains information from multiple sources and completes data entry duties to update patient information in EMR system.
Communicates with patients through EMR system, mail, or phone to confirm patient information, review details and expectations of referrals, and send reminders of upcoming appointments.
Adheres to organizational policies, safety standards, and healthcare regulations, including HIPAA and other compliance requirements.
Attends, participates, and/or assists in meetings, trainings, community outreach activities, continuing education opportunities, and other activities as required.
Performs other related duties as assigned.