Referral Specialist jobs in Richmond, VA

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 Specialist
  • Eye Care Partners Career Opportunities
  • Richmond, VA FULL_TIME
  • EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.

    Referral Specialist

    Position Overview:

    • The Referral Specialist will serve as primary referral personnel to provide a positive first contact to Retina Institute of Virginia and EyeCare Partners while projecting a professional telephone image through phone interaction. The Referral Specialist will demonstrate sensitivity to patient's needs and Patient Privacy Act, as well as demonstrate superior telephone and interpersonal skills.

    Essential Duties and Responsibilities:

    • Assist patients in scheduling of appointments based on individual needs and physician's schedules while working closely with other departments and external physician's offices to ensure smooth patient flow, including checking patient eligibility
    • Handles all incoming and outgoing local referral networks and paper/faxed referrals while coordinating help from Patient Relations team members when needed.
    • While incoming and outgoing referrals are the Referral Specialists primary responsibility, the Referral Specialist acts as backup to the Contact Center as needed. As determined by the Supervisor of Referrals or the Patient Relations Manager, the Referral Specialist will promptly answer, screen, and process calls to appropriate person(s) and/or department per protocol while determining management of emergent calls in accordance with company policy.
    • Maintain patient chart demographics and Patient Portal for EMR software.
    • Respond to Live Chat and Cataract Self-Test inquiries.
    • Reply to and compose emails to team members as necessary.
    • Work cooperatively with the Patient Relations Team to accomplish the goals of the department.
    • Work closely with provider liaison to establish and guarantee successful and efficient relationships with referring providers and offices.
    • Assist in Referral Department reporting and perform special projects and other duties as assigned.
    • Regular and recurrent predictable attendance is expected
    • Runs real time eligibility queries upon scheduling
    • Job may require other duties as assigned.

    Education and Experience:

    • High school diploma/GED with 1 to 3 years of medical office experience.
    • Demonstrates excellent customer service skills.
    • A combination of experience in Windows Operating System, Microsoft Office, e-mail, and data entry.

    Knowledge, Skills, and Abilities:

    • Knowledge of EMR software a plus with typing skills at 50 wpm, basic computer skills that include a combination of experience in Windows Operating System, Microsoft Office, e-mail, and data entry.
    • Ability to understand payor referral requirements to allow appropriate reimbursement
    • Ability to cogently communicate payor requirements and requisite information to referring providers
    • Professional verbal and written communication skills in a customer service setting.
    • Well organized with the ability to maintain accuracy and confidentiality.

    Decision Making:

    • Ability to handle multiple tasks with excellent problem-solving skills.

    Work Environment:

    • General office conditions

    Physical Requirements:

    • While performing the duties of this job, the employee is regularly required to stand and walk and sometimes sit; use hands to type, handle, or feel objects or controls; reach with hands and arms; and talk or hear.
    • Regular attendance is a necessary and essential function.

    If you need assistance with this application, please contact (636) 227-2600. Please do not contact the office directly – only resumes submitted through this website will be considered.

    EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

  • 30 Days Ago

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Clinical Referral Specialist - Richmond
  • LifeNet Health
  • Richmond, VA FULL_TIME
  • clinical Referral Specialist Location: Richmond, VADepartment: Clinical ServicesClinical Classification: Clinical PlusJob Type: Full-TimeShift: 12-hour shifts; 13 shifts per month; 2 weekends per mont...
  • 25 Days Ago

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Bankruptcy Specialist
  • Technology Support Specialist
  • Allen, VA CONTRACTOR
  • Basic Qualifications for Consideration: Monitor loans in Bankruptcy to ensure the debtor is in compliance with the bankruptcy plan and that Mortgage adheres to investor, state, federal and bankruptcy ...
  • 11 Days Ago

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Turnkey Apprentice- Ashland, VA
  • Career and Referral
  • Ashland, VA FULL_TIME
  • At Trane TechnologiesTM and through our businesses including Trane® and Thermo King®, we create innovative climate solutions for buildings, homes, and transportation that challenge what’s possible for...
  • 14 Days Ago

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Energy Engineering Training Program (January 2025)
  • Career and Referral
  • Ashland, VA FULL_TIME
  • At Trane TechnologiesTM and through our businesses including Trane® and Thermo King®, we create innovative climate solutions for buildings, homes, and transportation that challenge what’s possible for...
  • 3 Days Ago

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Turnkey Installation Technician- Ashland, VA
  • Career and Referral
  • Ashland, VA FULL_TIME
  • At Trane TechnologiesTM and through our businesses including Trane® and Thermo King®, we create innovative climate solutions for buildings, homes, and transportation that challenge what’s possible for...
  • 3 Days Ago

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0 Referral Specialist jobs found in Richmond, VA area

Richmond (/ˈrɪtʃmənd/) is the capital of the Commonwealth of Virginia in the United States. It is the center of the Richmond Metropolitan Statistical Area (MSA) and the Greater Richmond Region. Richmond was incorporated in 1742 and has been an independent city since 1871. As of the 2010 census, the city's population was 204,214; in 2016, the population was estimated to be 223,170, making Richmond the fourth-most populous city in Virginia. The Richmond Metropolitan Area has a population of 1,260,029, the third-most populous metro in the state. Richmond is located at the fall line of the James R...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$39,326 to $48,280
Richmond, Virginia 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