Referral Specialist jobs in Baton Rouge, LA

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)

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Referral Coordinator- Advanced Robotics
  • Baton Rouge General Medical Center - Mid City
  • Baton Rouge, LA FULL_TIME
  • JOB PURPOSE OR MISSION : Communicates and interprets GHS policies and procedures to management and employees, increasing understanding of and compliance. Develops, maintains and/or changes processes and/or policies that promote efficiency and accuracy of GHS functions, for assigned area(s).

    PERFORMANCE CRITERIA

    CRITERIA A: Everyday Excellence Values - Employee demonstrates Everyday Excellence values in the day-to-day performance of their job.

    PERFORMANCE STANDARDS: • Demonstrates courtesy and caring to each other, patients and their families, physicians, and the community. • Takes initiative in living our Everyday Excellence values and vital signs. • Takes initiative in identifying customer needs before the customer asks. • Participates in teamwork willingly and with enthusiasm. • Demonstrates respect for the dignity and privacy needs of customers through personal action and attention to the environment of care. • Keeps customers informed, answers customer questions and anticipates information needs of customers

    CRITERIA B: Corporate Compliance - Employee demonstrates commitment to the Code of Conduct, Conflict of Interest Guidelines and the GHS Corporate Compliance Guidelines.

    PERFORMANCE STANDARDS • Practices diligence in fulfilling the regulatory and legal requirements of the position and department. • Maintains accurate and reliable patient/organizational records. • Maintains professional relationships with appropriate officials; communicates honesty and completely; behaves in a fair and nondiscriminatory manner in all professional contacts.

    CRITERIA C: Personal Achievement - Employee demonstrates initiative in achieving work goals and meeting personal objectives.

    PERFORMANCE STANDARDS • Uses accepted procedures and practices to complete assignments. Uses creative and proactive solutions to achieve objectives even when workload and demands are high. • Adheres to high moral principles of honesty, loyalty, sincerity, and fairness. • Upholds the ethical standards of the organization.

    CRITERIA D: Performance Improvement - Employee actively participates in Performance Improvement activities and incorporates quality improvement standards in his/her job performance.

    PERFORMANCE STANDARDS • Optimizes talents, skills, and abilities in achieving excellence in meeting and exceeding customer expectations. • Initiates or redesigns to continuously improve work processes. • Contributes ideas and suggestions to improve approaches to work processes. • Willingly participates in organization and/or department quality initiatives.

    CRITERIA E: Cost Management - Employee demonstrates effective cost management practices.

    PERFORMANCE STANDARDS • Effectively manages time and resources • Makes conscious effort to effectively utilize the resources of the organization — material, human, and financial. • Consistently looks for and uses resource saving processes.

    CRITERIA F: Patient & Employee Safety - Employee actively participates in and demonstrates effective patient and employee safety practices.

    PERFORMANCE STANDARDS • Employee effectively communicates, demonstrates, coordinates and emphasizes patient and employee safety. • Employee proactively reports errors, potential errors, injuries or potential injuries. • Employee demonstrates departmental specific patient and employee safety standards at all times. • Employee demonstrates the use of proper safety techniques, equipment and devices and follows safety policies, procedures and plans.

    JOB FUNCTIONS

    ESSENTIAL JOB FUNCTIONS include, but are not limited to:

    1. Serves as resource and customer/employee relations representative for the System.

    PERFORMANCE STANDARDS: • Receives employee, manager and/or external requests for information and/or assistance in resolving issues, using proper telephone/customer service techniques. • Provides information and/or resolves issues within scope of own knowledge and authority, within established timeframes, maintaining communication with customer throughout process. • Forwards other requests/issues to appropriate person(s), maintaining ownership of issue until final resolution is obtained. • Serves as employee/customer advocate to create, maintain and foster an environment that embodies GHS principles.

    2. Facilitates the dissemination of information to GHS employees and/or regulatory agencies and works a closely with the MIS team to ensure project completion. PERFORMANCE STANDARDS: • Maintains structures in the HRIS System to accurately reflect the current GHS organizational configuration. • Responsible for working with MIS team to ensure Human Resource needs are met. • Designs and develops queries and reports, accurately providing customers with necessary data within established timeframes. • Compiles and supplies information to customers on an ad hoc basis as needed.

    3. Coordinates and oversees the daily operation of assigned HR staff. PERFORMANCE STANDARDS: • Communicates and interprets GHS policies and procedures to management and employees, increasing understanding of and compliance. • Develops, maintains and/or changes processes and/or policies that promote efficiency and accuracy of GHS functions, for assigned area(s). • Serves as a resource, support and/or backup for others in department, as assigned or as determined by need. • Oversees and assures that assigned function(s) operate(s) within budgetary constraints. • Completes accurate and timely payables paperwork (may include both payments and receipts), following established procedures, for assigned area(s). • Supervises departmental staff and processes and recommends changes as needed on a daily basis. • Supervises operation of the staff daily and ensure all performance evaluations are timely.

    4. Serves as resource and customer/employee relations representative for the System and oversees employee activities as necessary.

    PERFORMANCE STANDARDS: • Receives employee, manager and/or external requests for information and/or assistance in resolving issues, using proper telephone/customer service techniques. • Provides information and/or resolves issues within scope of own knowledge and authority, within established timeframes, maintaining communication with customer throughout process. • Forwards other requests/issues to appropriate person(s), maintaining ownership of issue until final resolution is obtained. • Serves as employee/customer advocate to create, maintain and foster an environment that embodies GHS principles. • Oversees and implements system-wide employee activities to promote good employee relations.

    5. Responds to internal and external requests for information for assigned functions.

    PERFORMANCE STANDARDS: • Compiles and researches data and prepares recurring and ad-hoc reports with 100% accuracy. • Provides accurate and timely information to external organizations and/or regulatory agencies, as assigned.

    6. Performs all other duties as assigned.

    EXPERIENCE REQUIREMENTS: 4-6 years progressive experience in Human Resources or related field.

    EDUCATION REQUIREMENTS: Bachelor’s degree in Human Resources or related field desired or equivalent experience.

    ADDITIONAL SKILL, LICENSE, AND/OR KNOWLEDGE REQUIREMENTS: Advanced proficiency in spreadsheet, word processing and database processing. Working knowledge of laws, regulations and practices related to assigned Human Resource functions, with thorough knowledge within specifically assigned area(s).

    HIPAA REQUIREMENTS: Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position including but not limited to: employee health records, patients related complaints, employee prescriptions and employee PHI as related to Heath Plan and Employee Relations.

    SAFETY REQUIREMENTS: Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position including but not limited to: incident reporting, exposure control plans, hand washing and environment of care.

    Full-Time

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Benefits Specialist
  • Strategic Business Consulting Services
  • Baton Rouge, LA FULL_TIME
  • Job Overview:We are seeking a highly organized and detail-oriented Benefit Specialist to join our team. As a Benefit Specialist, you will be responsible for managing employee benefits programs and ens...
  • 15 Days Ago

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ENGAGEMENT SPECIALIST
  • lsuhsc
  • Baton Rouge, LA FULL_TIME
  • This position is essential to the growth of participant enrollment of the All of Us Research Program. The Engagement Specialist will be required to build collaborative relationships with healthcare pr...
  • 16 Days Ago

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Merchandising specialist
  • SAS Retail Services
  • Hammond, LA FULL_TIME
  • Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in merchandising, sales, and product demonstrations. We seek a candidate adept at f...
  • 16 Days Ago

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Merchandising specialist
  • Advantage Solutions
  • Hammond, LA FULL_TIME
  • Minimum : Maximum : Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in merchandising, sales, and product demonstrations. We seek a ...
  • 16 Days Ago

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Credentialing Specialist
  • Louisiana Primary Care Association
  • Baton Rouge, LA FULL_TIME
  • Credentialing SpecialistLouisiana Primary Care AssociationBaton Rouge, LASupervisor: Credentialing ManagerPosition Summary:The Credentialing Specialist is responsible for organizing, maintaining and v...
  • 17 Days Ago

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0 Referral Specialist jobs found in Baton Rouge, LA area

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Subject Matter Expert/Technical Writer
  • Ecoscience Resource Group Llc
  • Baton Rouge, LA
  • We are hiring! We are searching for experienced operations personnel and chemical engineers. EcoScience Resource Group i...
  • 4/25/2024 12:00:00 AM

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Service Level Agreement /SLA Expert Architect - Location Negotiable
  • Accenture
  • Baton Rouge, LA
  • We Are Accenture is a leading global professional services company that helps the worlds leading businesses, governments...
  • 4/25/2024 12:00:00 AM

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Subject Matter Expert/Technical Writer
  • ECOSCIENCE RESOURCE GROUP LLC
  • Baton Rouge, LA
  • We are hiring! We are searching for experienced operations personnel and chemical engineers. EcoScience Resource Group i...
  • 4/24/2024 12:00:00 AM

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Field Application Specialist - HammerHead
  • The Toro Company
  • Baton Rouge, LA
  • Typical Starting Pay: $80,000-$105,000, plus bonuses. What Can We Give You? Medical, Dental, Vision, 401K Matching up to...
  • 4/24/2024 12:00:00 AM

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Retirement Benefits Specialist
  • Louisiana Department Of State Civil Service
  • Baton Rouge, LA
  • Louisiana Department of State Civil Service Retirement Benefits Specialist Baton Rouge , Louisiana Apply Now Print (http...
  • 4/24/2024 12:00:00 AM

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Creative Specialist II - REMOTE
  • Jacobs
  • Baton Rouge, LA
  • Your Impact:We're invested in you and your success. Everything we do is more than just a project. It's our challenge as ...
  • 4/23/2024 12:00:00 AM

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Expert Architect - Pega_CDH
  • Acxiom
  • Baton Rouge, LA
  • The ideal Technical Architect candidate has extensive experience as a consultant and comprehensive knowledge of the Pega...
  • 4/22/2024 12:00:00 AM

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LOB Sales Specialist - Specialty Mechanical
  • Clean Harbors
  • Baton Rouge, LA
  • The Sales Specialist (Specialty Mechanical) has direct responsibility for the profitable revenue growth throughout the d...
  • 3/21/2024 12:00:00 AM

Baton Rouge (/ˌbætən ˈruːʒ/ BAT-ən ROOZH; from French bâton rouge [bɑtɔ̃ ʁuʒ] (listen), meaning 'red stick') is the capital of the U.S. state of Louisiana. Located on the eastern bank of the Mississippi River, it is the parish seat of East Baton Rouge Parish, the most populous parish in Louisiana. It is the 99th most populous city in the United States, and second-largest city in Louisiana after New Orleans. It is also the 16th most populous state capital. As of the U.S. Census Bureau's July 2017 estimate, Baton Rouge had a population of 227,549, down from 229,493 at the 2010 census. Baton Rou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$38,397 to $47,139
Baton Rouge, Louisiana area prices
were up 1.2% from a year ago

Referral Specialist in Terre Haute, IN
This position serves as the centralized intake for all internal referrals to core service programs.
December 12, 2019
Referral Specialist in Albany, NY
The Information and Referral Specialist 1 is the entry level classification which gathers information on community resources and utilizes a broad knowledge of the community resource network to make appropriate referrals to service providers.
December 01, 2019
Referral Specialist in Florence, AL
As a Referral Specialist you will execute patient insurance referrals, consultations, and diagnostic procedures relating to Kadlec Clinic.
January 14, 2020