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)
Top 3 Skills:
Good Communication
Ability to complete tasks on time
Strong analytics with attention to detail
Summary:
The main function of a business operations specialist is to maintain vendor relationships, acting as a business analyst for non-IT projects or filling organizational roles above an administrative level, but below a management level. Other responsibilities may include maintaining all project management processes, including project goals, deadlines, metrics and budget. The business operations specialist usually reports to a project manager or director.
Job Responsibilities:
? Create, maintain and improve data models to size the US Sound Device Market. Forecast Samsung?s overall market position and across the key segments, leveraging internal and external data.
? Establish deep partnerships across multiple disciplines to ensure all relevant factors are accounted for maintain integrity of predictive models.
? Develop and maintain cost simulation tools to maximize ROI and enable swift decision making on promotional activities and programs.
? Develop, standardize and deploy tools and processes that support the achievement of corporate objectives. Closely monitor key performance indicators to ensure executives and decisions makers are in an informed position to maximize revenue, share and profit.
? Facilitate the flow of information across internal partners. Close collaboration with Product Managers to ensure key channel, market and segment insights are gathered and leveraged across all processes.
? Support the executive team in developing and coordinating internal and external presentation materials
? Manage near- and long-term initiatives leveraging project management principles.
? Facilitate close collaboration amongst Sales and Marketing on annual Market Development Fund plans and communicate relevant context to secure relevant approvals.
? Responsible for updating, maintaining and distribution of Price Roadmaps
? Creation and distribution of Marketing Bulletins
? Analyzing Market Data in order to create Market Share Simulations
Education/Experience:
College Degree (Bachelors? Degree at a minimum)
Years of experience Minimum of 3 to 5 years?
Job Type: Full-time
Pay: $25.29 - $34.46 per hour
Benefits:
Schedule:
Ability to Commute:
Ability to Relocate:
Work Location: In person
Clear All
0 Referral Specialist jobs found in Bergenfield, NJ area