Referral Specialist jobs in Daytona Beach, FL

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- Conviva Orange City
  • Humana - Conviva
  • Orange, FL FULL_TIME
  • Become a part of our caring community and help us put health first
     

    The Referral Coordinator schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.

    The Referral and Scheduling Coordinator gathers and communicates all relative information and preparation instructions to patient and referring providers. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.

    Job Functions

    • Prepares and processes all managed care referral paperwork.

    • Gathers pertinent information from physicians, nurse practitioners and nursing staff to complete referrals.

    • Contacts various offices/facilities to obtain necessary appointments for completing referrals.

    • Maintains referral records and files documentation.

    • Responds to patient inquiries regarding health plan referrals.

    • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.


    Use your skills to make an impact
     

    Requirements

    • Referral experience

    • 2 years of hands-on healthcare experience in a clinical setting, preferably within the Medicare population

    • Proficient with Microsoft Office applications including Microsoft Word, Excel and Outlook

    • Proficient with medical terminology

    • Experience with Electronic Medical Records

    • Excellent professional communication abilities, at all levels within the organization and with patients, at all times

    • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

    Preferred Qualifications

    • Knowledge of ICD 10 and CPT coding

    • Bilingual English/Spanish

    Additional Information

    Schedule: Monday – Friday 8:00 AM to 5:00 PM

    Alert: 

    Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

    MODERN HIRE

    As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

    Scheduled Weekly Hours

    40

    Pay Range

    The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


     

    $31,900 - $43,900 per year


     

    Description of Benefits

    Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


    About Us
     

    About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

    About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


    Equal Opportunity Employer

    It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

  • 10 Days Ago

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Referral Coordinator- Conviva Orange City
  • Humana
  • Orange, FL FULL_TIME
  • Become a part of our caring community and help us put health first The Referral Coordinator schedules and pre-registers patients for exams and procedures with specialists and providers outside of the ...
  • 10 Days Ago

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Specialist
  • U-Haul
  • Daytona Beach, FL FULL_TIME
  • Location : 700 W Int'L Speedway Blvd, Daytona Beach, Florida 32114 United States of America Van Body Specialist Ready to rev up your career? Are you a skilled technician interested in a rewarding care...
  • 2 Months Ago

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Leasing Specialist / Occupancy Specialist
  • Westminster Communities of Florida
  • Daytona Beach, FL FULL_TIME
  • Westminster Canterbury, a senior living facility located in beautiful Daytona, Florida is seeking a full-time Leasing Specialist. The leasing specialist performs leasing and occupancy duties that supp...
  • 7 Days Ago

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Leasing Specialist / Occupancy Specialist
  • Westminster Brand 051816
  • Daytona Beach, FL FULL_TIME
  • Westminster Canterbury, a senior living facility located in beautiful Daytona, Florida is seeking a full-time Leasing Specialist. The leasing specialist performs leasing and occupancy duties that supp...
  • 8 Days Ago

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Procurement Specialist
  • Community Partnership For Children
  • Daytona Beach, FL FULL_TIME
  • Position: Procurement Specialist Location: Daytona Beach, FL Salary Range: $62,500.00 DOE Exempt/Non-Exempt: Exempt Employment Type: Full Time Department: Other POSITION SUMMARY Assist the Contract an...
  • 16 Days Ago

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0 Referral Specialist jobs found in Daytona Beach, FL area

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Onboarding Specialist
  • Jpmorgan Chase
  • Sanford, FL
  • Seeking a driven, proactive and intellectually curious individual to join our team.As a Commercial Bank International Im...
  • 4/24/2024 12:00:00 AM

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Field Application Specialist - HammerHead
  • The Toro Company
  • Sanford, FL
  • 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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Member Specialist
  • Walmart, Inc.
  • Sanford, FL
  • What you'll do... Ensures area of responsibility is maintained in accordance with Company policies and procedures by pro...
  • 4/24/2024 12:00:00 AM

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Credentialing Specialist
  • Elite Medical Staffing
  • Lake Mary, FL
  • The Credentialing Specialist is a full-time, (temporary role that may be subject to become permanent) salaried position....
  • 4/24/2024 12:00:00 AM

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Billing Specialist
  • Elite Care Rx
  • Oviedo, FL
  • Job Description Job Description Elite Care RX is a professional Pharmaceutical and Claim Management Company headquartere...
  • 4/23/2024 12:00:00 AM

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Credentialing Specialist
  • Elite Medical Staffing
  • Lake Mary, FL
  • The Credentialing Specialist is a full-time, (temporary role that may be subject to become permanent) salaried position....
  • 4/22/2024 12:00:00 AM

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Financial Manager (Grants Specialist)
  • Seminole County, FL
  • Sanford, FL
  • Salary : $62,743.59 - $100,389.74 Annually Location : 534 W. Lake Mary Blvd. Sanford, FL Job Type: Full Time Employment ...
  • 4/21/2024 12:00:00 AM

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Marketing Specialist
  • Manpower
  • Bunnell, FL
  • Marketing Coordinator $20 /hr As a Marketing Coordinator you will support the voter outreach program learning the proces...
  • 4/20/2024 12:00:00 AM

Daytona Beach is a city in Volusia County, Florida, United States. It lies about 51 miles (82.1 km) northeast of Orlando, 86 miles (138.4 km) southeast of Jacksonville, and 242 miles (389.5 km) northwest of Miami. In the 2010 U.S. Census, it had a population of 61,005. It is a principal city of the Deltona–Daytona Beach–Ormond Beach metropolitan area, which was home to 600,756 people as of 2013. Daytona Beach is also a principal city of the Fun Coast region of Florida. The city is historically known for its beach where the hard-packed sand allows motorized vehicles to drive on the beach in res...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$36,699 to $45,055
Daytona Beach, Florida area prices
were up 1.5% 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