Referral Specialist jobs in the United States
Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. Additionally, Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. Typically reports to a supervisor. The Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Referral Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Recently Added Referral Specialist jobs
Health and Wellness Specialist - Referral
- Referral in Owensboro, KY - Owensboro
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Owensboro, KY
FULL_TIME
-
Summary
Job Summary
Responsible for distribution of Exercise is Medicine (EIM) information and referral tools to local healthcare providers and coordinates all referrals to ensure a positive experience for patients and increase membership.Job Responsibilities- Assists with organization of specially assigned programs in the fitness areas for the member population.
- Responsible for the day-to-day and long-term implementation of EIM programming.
- Responsible for presenting special programs, events, and classes at the HealthPark, in the community, schools and for business & industry as needed.
- Acts as point person for medical emergencies, opening/closing, minor problems, member concerns and contact of Manager on Duty when situation warrants.
- Works with manager/supervisor training Fitness Coaches for EIM program and/or other specialty programs.
- Ensures electronic documentation is completed for referred patients and assists with training and questions related to EPIC.
- Monitors program participation and ensures electronic documentation is completed for referred patients.
- Assists with troubleshooting simple electronic documentation errors and questions and routes more complex issues to appropriate IT support.
- Develops a readiness to change interview tool to be administered to referred patients and interviews all referrals to determine if they are qualified to participate in the program(s).
- May be responsible for documenting and entering charges in an electronic medical record system.
- Collects pre and post data from outcomes and compiles reports for HealthPark Leadership and other parties as appropriate.
- Creates reports to track participation rates and rollover.
- Responsible for greeting every member and potential member with a smile and making themselves available to help meet their needs, answer their questions and make them feel important.
- Works with leadership team to assist and coordinate special events related to programming.
- Provides exercise information for patients, peers and the community which may include public speaking and education classes.
Qualifications- Bachelor's degree or higher in Health Education required upon hire OR
- Bachelor's degree or higher in Exercise Physiology required upon hire OR
- Bachelor's degree or higher in Sports Medicine required upon hire OR
- Bachelor's degree or higher in Exercise Science required upon hire OR
- Bachelor's degree or higher in Athletic Training required upon hire OR
- Bachelor's degree or higher in Physical Education required upon hire
- A combination of education, training and experience may be considered in lieu of degree.
- No experience required
- AAPTE-CPFT - Certified Personal Fitness Trainer from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- ACE-AHFS - Advanced Health and Fitness Specialist from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- ACE-CPT - Personal Trainer from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- ACE-GFI - Group Fitness Instructor from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- ACSM-CPTC - Certified Personal Trainer from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- ACSM-HFI - Health and Fitness Instructor from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- ACSM-RCEP - Registered Clinical Exercise Physiologist from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- ACSM-CCEP - Certified Clinical Exercise Physiologist from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- ACSM-CEP - Certified Exercise Physiologist from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- CI-CPT - Personal Trainer Certification from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- NASM-CPT - Certified Personal Trainer from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- NCCPT-CPT - Certified Personal Trainer from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- NCSF-CPT - National Certified Personal Trainer from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- NETA-CPT - Certified Personal Trainer from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- NETA-CGEI - Certified Group Exercise Instructor from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- NFPT-CPT - Certified Personal Fitness Trainer from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- NSCA-CPT - Certified Personal Trainer from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position OR
- NSCA-CSCS - Certified Strength and Conditioning Specialist from National Commission for Certifying Agencies (NCCA) required within 9 months of employment in this position AND
- BLS - Certified as a Basic Life Support Healthcare Provider required within 90 days of employment in this position
Skills and Attributes- Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
- Experience with direct accountability for programs and customer service preferred.
Physical Demands- Standing: Occasionally
- Walking: Occasionally
- Sitting: Occasionally
- Lifting 0-25 lbs: Occasionally
- Lifting 25-75 lbs: Occasionally
- Lifting over 75 lbs: Occasionally
- Carrying 0-25 lbs: Occasionally
- Carrying 25-75 lbs: Occasionally
- Carrying over 75 lbs: Occasionally
- Pushing/Pulling 0-25 lbs: Occasionally
- Pushing/Pulling 25-75 lbs: Occasionally
- Pushing/Pulling over 75 lbs: Occasionally
- Climbing: Occasionally
- Bending/Stooping: Occasionally
- Kneeling: Occasionally
- Crouching/Crawling: Occasionally
- Reaching: Occasionally
- Talking: Occasionally
- Hearing: Occasionally
- Repetitive Foot/Leg Movements: Occasionally
- Repetitive Hand/Arm Movements: Occasionally
- Keyboard Data Entry: Frequently
- Running: Rarely
- Vision: Depth Perception: Frequently
- Vision: Distinguish Color: Frequently
- Vision: Seeing Far: Frequently
- Vision: Seeing Near: Frequently
Owensboro Health Core Commitments
INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.
RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.
TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.
INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service. - 24 Days Ago
Patient Services Specialist II - Ambulatory Referral Coordination
- Ambulatory Referral Coordination - UTMB Health Careers
-
Galveston, TX
FULL_TIME
- Minimum Qualifications Bachelor’s degree and one year experience or High School or equivalent and three years clerical or customer service experience. Job Summary The Patient Services Specialist II ha...
- 1 Month Ago
Patient Access Specialist - Ambulatory Referral Coordination
- Ambulatory Referral Coordination - UTMB Health Careers
-
Webster, TX
FULL_TIME
- Minimum Qualifications Bachelor’s degree or equivalent (High School or equivalent and two years customer service and/or clerical experience) Job Summary Represents the voice of UTMB. Creates a nurturi...
- 1 Month Ago
Produce specialist
- Referral Staffing Solutions
-
Cashton, WI
FULL_TIME
- Produce Quality Specialist - Cashton Distribution Center Location : Cashton Distribution Center Term : Until November Schedule : Tuesday-Friday, Noon-10pm Wage : $18-$25 / hr depending on experience $...
- 1 Month Ago
Intake Specialist
- Family Resource And Referral Center
-
Stockton, CA
FULL_TIME
- Family Resource and Referral Center (FRRC) employee responsibilities include becoming familiar with all programs operated by FRRC. ESSENTIAL DUTIES AND RESPONSIBILITES include the following. Other dut...
- 20 Days Ago
Intake specialist
- Referral Staffing Solutions
-
Chaseburg, WI
FULL_TIME
- Join Organic Valleys Team as an Intake Specialist Referral Staffing Solutions has partnered with Organic Valley to identify an Intake Specialist within their Chaseburg location. Organic Valley is a c...
- 24 Days Ago
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- Acosta Group
-
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-
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-
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-
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-
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- Acxiom
-
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- The ideal Technical Architect candidate has extensive experience as a consultant and comprehensive knowledge of the Pega...
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-
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Income Estimation for Referral Specialist jobs
$41,048 to $50,393