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)
Under the direct supervision of the Outreach Director, assure customers entering/calling disAbility Connections are handled professionally and efficiently. Determine customer needs, answer questions and directing to internal/external resources. Excellent customer service and welcoming atmosphere is maintained in the reception area.
Qualifications and Requirements
· Excellent computer skills including Database entry, Excel, Word and other Office applications
· Ability to answer calls and enter data while speaking to customers
· Knowledge of community resources and referral processes
· Ability to develop and maintain registration system for events
· Excellent ability to engage and determine caller needs
DUTIES AND RESPONSIBILITIES
IMPORTANT SKILLS AND CHARACTERISTICS
· Enhances the image of disAbility Connections in person, by telephone, and in written communication. An effective communicator. Attentive and respectful of others; a good listener. Uses professional demeanor with face-to-face, written or telephone contact.
· Completes all reports by deadline, including but not limited to: timesheets, expense reports, monthly activity reports, billings, and grant applications.
· Contributes to the team. A productive and conscientious worker who takes on a fair share of the workload. Takes initiative to assist others during periods of less intense workload. Is helpful when special projects require additional work.
· Completes and maintains all Consumer Services Records in compliance with the Federal Quality Assurance Standards and Indicators in the required data collection tools.
· Maintains a positive working relationship with consumers, co-workers, referral sources, and others to encourage positive relationships. Arrives at job, appointments, meetings, on time and prepared.
· Articulates the disAbility Connections, Inc. mission, Independent Living goals and accurately describes its program services and outcomes.
· Models integrity, personal and professional ethics and maintains confidential consumer information in adherence to applicable HIPAA guidelines.
· Maintains a neat and orderly office.
· Demonstrates resourcefulness, initiative and follow through as required for the effective delivery of disAbility Connections services.
· Meets outcomes listed in the Fiscal Year Work Plan as outlined in the disAbility Connections Performance Evaluation.
PHYSICAL REQUIREMENTS
This job requires the ability to perform the essential functions contained in this job description.
Reasonable accommodation will be made for otherwise qualified applicants unable to fulfill one or more of these requirements. These include but are not limited to the following requirements.
· Ability to enter and retrieve information into the computer.
· Ability to bend and reach office files, materials and equipment.
· Ability to make and receive telephone calls.
· Ability to travel in the regional service area of the agency and occasionally within the state for other meetings or trainings.
WORK ENVIRONMENT
Work in the Adrian disAbility Connections office, community settings and travel throughout the region to attend meetings and other activities related to disAbility Connections.
This job description is not intended to be and should not be construed as an all-inclusive list of responsibilities, skills, and effort; or working conditions associated with the position. While it is intended to be an accurate reflection of the job requirements, disAbility Connections reserves the right to modify, add or remove duties and to assign other duties as necessary.
Job Type: Full-time
Pay: $15.00 - $16.00 per hour
Expected hours: 40 per week
Benefits:
Experience level:
Shift:
Weekly day range:
Work setting:
Work Location: In person
Clear All
0 Referral Specialist jobs found in Ann Arbor, MI area