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)
It's more than a career, it's a calling
WI-St. Agnes HospitalWorker Type:
Job Highlights:
Our Mission
Through our exceptional health care services, we reveal the healing presence of God
Our Vision
Peace, hope, and health for every person, family, and community, especially those most in need
Our Values
Compassion, respect, excellence, stewardship, and community
Full Time Position
Day Shift
40 hours per week
Benefits
Job Summary:
Collaborates with both internal and external sources to screen and facilitate admissions and referrals to the appropriate level of care throughout the continuum.Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
EDUCATION
EXPERIENCE
PHYSICAL REQUIREMENTS
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin
Licenses / Certifications:
Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), FUTURE - Basic Life Support Healthcare Provider (BLS HCP) within 90 days - American Heart Association (AHA)Work Shift:
Day Shift (United States of America)Job Type:
Department:
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
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0 Referral Specialist jobs found in Appleton, WI area