Referral Specialist jobs in Providence, RI
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)
Recently Added Referral Specialist jobs
Referral Specialist PD
- Lifespan Physician Group
-
Providence, RI
OTHER
-
Summary:
The Referral Specialist reports to the Practice Manager. Under the general supervision coordinates the effective and efficient patient flow in regards to scheduling appointments with specialist and testing per physician request. Obtains proper insurance authorization prior to scheduling appointment and once completed contacts patient with pertinent information and ensures that all required information is forwarded to specialist office following practice protocols. Follows patients status within the cycle of provider care to ensure continuity of services utilizing LifeChart referral work ques.
Responsibilities:
Schedule/coordinate/triage all referrals created by and sent to the practice via Lifechart work ques. Sets follow-up alarms per practice protocols and the tracking function to ensure that all outstanding referrals are followed-up on. Obtains all un-resulted consults and testing orders managed by the referral office. Alerts the ordering provider of any patient that does not keep an appointment with a specialist or testing facility.
Scans into the medical record all correspondence received on patients and ensures that they are correctly labeled and forwarded to the proper ordering provider for their review.
Takes messages from the referral line/fax machine create a referral in Lifechart and forwards the information to the PCP for approval prior to sending referrals to specialist or testing facility in accordance with practice policy. Contacts patients and instructs them with not only information about the appointment but provides them with any specific instructions prior to their appointment.
Maintains current knowledge of insurer referral/authorization requirements and have a working understanding of the patient population and demonstrate cultural awareness and sensitivity.
Acts as a resource to practice team members regarding referral issues.
Participates in practice performance and quality improvement activities. Attends required meetings and trainings as directed.
Performs other related duties appropriate to training and experience as assigned by physician practice manager.
Knowledge of front office operations in addition to clinical knowledge for triaging referrals and determine when the patient need to be seen.
Other information:
BASIC KNOWLEDGE:
High school degree or the equivalent.
Billing and medical knowledge.
EXPERIENCE:
Two years of clinical referral experience required.
Patient Centered Medical Home Practice (PCMH) referral experience preferred.
Data entry skills and computer experience required.
Strong customer service focus.
Effective verbal and written communication skills.
Organized and able to manage competing priorities.
Able to take and follow through with delegated tasks and accountability.
Demonstrated knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes human development stages and cultural patterns in each step of the care process.
Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.
Location: Lifespan Physician Group Inc. USA: RI: Providence
Work Type: Per Diem
Shift: Shift 1
Union: Non-Union - 1 Month Ago
Kitchen Designer/Sales Consultant
- RIHI The Kitchen and Bath Specialist
-
Warwick, RI
FULL_TIME
- In-Home sales: Kitchen DesignerRIHI is a full-service Kitchen and Bath Remodeling company specializing in residential remodeling. We have been family-owned and operated for 75 years. Our mantra is to ...
- 16 Days Ago
Clinical Manager- Intraoperative Neuromonitoring
- SpecialtyCare Associate Referral Program
-
Providence, RI
FULL_TIME
- SpecialtyCare continues to grow and we’d like you to grow with us. We are the industry leader in intraoperative neuromonitoring (IONM) services in the US—monitoring over 60,000 cases annually, providi...
- 6 Days Ago
Referral Coordinator
- The Providence Community Health Centers, Inc.
-
Providence, RI
FULL_TIME
- A Referral Coordinator works collaboratively with physicians, practitioners, counsellors, nurse case managers and other departments to coordinate transfer of care between PCHC providers and community ...
- 1 Month Ago
IM Referral Coordinator
- Day Kimball Healthcare
-
Putnam, CT
FULL_TIME
- Referral Coordinator Internal Medicine First Shift Job Summary of Referral Coordinator: The Referral Coordinator is a multi-tasking position that consists of all aspects of the referral process, prior...
- 8 Days Ago
Residential Case Manager-Referral Bonus
- Care New England
-
Providence, RI
PART_TIME
- Residential Case Manager-Referral Bonus Department: TPC-Broad St Group Home Operating Unit The Providence Center Location: Providence, RIJob ID: 8653Job Status: Part TimeShift: FlexSchedule: Flex even...
- 1 Month Ago
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0 Referral Specialist jobs found in Providence, RI area
Excel Guru: Compliance Risk (616273)
- Planet Professional
-
Marlborough, MA
- $22- $27/hr. Excel Specialist - Operations/Compliance Contract Duration: 4 months with potential for extension Hybrid, 2...
- 4/25/2024 12:00:00 AM
Communications Specialist
- Talent Groups
-
Providence, RI
- Duration: 1 year to start Hours Per Week: 35 Pay: $46- $56/hr W2 Job Description Summary Our client seeks a Communicatio...
- 4/24/2024 12:00:00 AM
Excel Guru: Compliance Risk (616273)
- Planet Professional
-
Marlborough, MA
- $22- $27/hr. Excel Specialist - Operations/Compliance Contract Duration: 4 months with potential for extension Hybrid, 2...
- 4/22/2024 12:00:00 AM
Training Specialist
- Point32Health
-
Watertown, MA
- Under moderate supervision, delivers technical training and soft-skills programs to entry-level and experienced staff. P...
- 4/22/2024 12:00:00 AM
Sleep Expert - Sales
- Mattress Firm
-
Auburn, MA
- Now Hiring! Sleep Expert – Sales This fast-paced, commission-driven sales role will provide you with everything you need...
- 4/10/2024 12:00:00 AM
Sleep Expert - Sales
- Mattress Firm
-
Killingly, CT
- Now Hiring! Sleep Expert – Sales This fast-paced, commission-driven sales role will provide you with everything you need...
- 4/9/2024 12:00:00 AM
Sleep Expert - Sales
- Mattress Firm
-
Natick, MA
- Now Hiring! Sleep Expert – Sales This fast-paced, commission-driven sales role will provide you with everything you need...
- 4/4/2024 12:00:00 AM
Sleep Expert - Sales
- Mattress Firm
-
Milford, MA
- Now Hiring! Sleep Expert – Sales This fast-paced, commission-driven sales role will provide you with everything you need...
- 4/4/2024 12:00:00 AM
About Providence, Rhode Island
The Providence city limits enclose a small geographical region with a total area of 20.5 square miles (53 km2); 18.5 square miles (48 km2) of it is land and the remaining 2.1 square miles (5.4 km2) is water (roughly 10%). Providence is located at the head of Narragansett Bay, with the Providence River running into the bay through the center of the city, formed by the confluence of the Moshassuck and Woonasquatucket Rivers. The Waterplace Park amphitheater and riverwalks line the river's banks through downtown.
Providence is one of many cities claimed to be founded on seven hills like Rome. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$42,398 to $52,051
Providence, Rhode Island area prices
were up 1.6% from a year ago
were up 1.6% from a year ago
What does a Referral Specialist do?
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