Referral Specialist jobs in Schenectady, NY
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 Coordinator
- The US Oncology Network
-
CLIFTON PARK, NY
OTHER
-
Overview:
Pay Range: $19.00 - $23.48 per hour
SCOPE: Under minimal supervision, is responsible for scheduling patient appointments and tests in an efficient and timely manner. Answers all incoming calls and directs calls to appropriate personnel. Serves as a liaison between patient and medical staff. May include outside scheduling and/or surgical scheduling responsibilities. May be designated as lead, with responsibilities including orientation, training and assignment of work to lower level employees. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities:
ESSENTIAL DUTIES AND RESPONSIBILITIES:- Answers all incoming calls; assesses callers' needs and directs to appropriate personnel.
- Pages clinic personnel as appropriate. Obtains and communicates messages in an accurate and timely manner.
- Schedules new patients, patient referrals and returning patients in computer system in accordance with physician and/or office guidelines. For new and or referred patients, sets up in system with appropriate documentation and coding.
- Cancels/reschedules appointments according to physician schedule changes; notifies appropriate clinic personnel.
- Obtains and enters all insurance authorization, and correspondence relating to referrals in patients charts and/or electronic medical records (EMR).
- Collects co-pays, deductible and other out of pocket amounts at time of visit.
- Maintains primary office scheduling template containing physician meetings, satellite schedule, rounding and call coverage.
- Arranges for patients to have financial counseling as needed.
- Demonstrates an understanding of patient confidentiality to protect the patient and clinic/practice. Follows policies and procedures to contribute to the efficiency of the front office.
- Covers for other front office functions as requested.
- Prepares correspondence, memos, forms and other typing as requested by supervisor.
- May schedule outpatient appointments/testing/surgeries and hospital admissions upon request. Obtains necessary pre-certification as required.
- May communicate to patient about surgeries or tests being scheduled and potential prep work needed, inquiring about test specifics from necessary parties and gathering patient information as needed.
- May be responsible for follow up on all pre-operative tests to ensure cleared for surgical procedure and communicates with physician and patients if further testing is required before surgery is performed.
- May be responsible for scheduling post-operative follow up appointments with Physicians.
- Where applicable, basic understanding of medical terminology for tests and surgical procedures, including coding and ability to look up codes specific to diagnosis, surgery and scheduling procedure.
MINIMUM QUALIFICATIONS: High school diploma or equivalent required. Minimum five years of medical office experience required. Knowledge of medical terminology and coding required. Must have excellent communication skills, written and verbal. Proficiency in Microsoft Office (Outlook, Word, Excel) required
COVID-19 vaccination is required. We will consider accommodations for disability and religious based reasons.
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier and other such office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.
COMPETENCIES:- Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded as expert in the technical/functional area; accesses and uses other expert resources when appropriate.
- Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility.
- Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.
- Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
- Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves contact with patients and public.
What we offer you:- Health, dental, and vision
- PTO Plan with holidays separate
- Weekends off
- 401(k) with company match
- Tuition reimbursement
- Life Insurance
- 19 Days Ago
Specialist
- Spirit Hospitality Services
-
Amsterdam, NY
FULL_TIME
- Heb je affiniteit met facilitaire zaken en kun je nietwachten het gezicht van ING te zijn Dan is deze functie wellichtiets voor jou! AlsReceptionist(e) / Experience specialist ben je hétaanspreekpunt ...
- 1 Day Ago
DME Specialist
- OrthoNY
-
Clifton Park, NY
FULL_TIME
- Location/Department: Albany/Clinic Job Title: DME Specialist/ATC Reports to: Site Manager Grade: $23.00- $30.00 per hour Type of position: Full Time FLSA Status: Non-Exempt GENERAL DESCRIPTION The DME...
- 16 Days Ago
To Go Specialist
- Olive Garden
-
Queensbury, NY
OTHER
- For this position, pay will be variable by location - See additional job details and benefits below.Our Winning Family Starts With You! Check out these great benefits!Flexible schedules to help you ba...
- 16 Days Ago
Habilitation specialist
- People With Developmental Disabilities, Office for
-
Saratoga Springs, NY
FULL_TIME
- Minimum Qualifications SELECTION CRITERIA : Ability to work as a team player. Ability to flex schedule to meet the needs of the individuals. Ability to manage time to meet the needs of the individuals...
- 20 Days Ago
Peer Specialist
- Behavioral Health Services North Inc
-
Queensbury, NY
FULL_TIME
- A Spanish version of this position is available upon request La version de esta posicion esta disponible en Español si es requerida BHSN, one of the fastest growing organizations providing whole perso...
- 21 Days Ago
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0 Referral Specialist jobs found in Schenectady, NY area
Specialist Technologist
- Naval Nuclear Laboratory
-
Galway, NY
- Working at the Naval Nuclear Laboratory we foster pride in belonging to an organization whose culture is made up of thes...
- 4/26/2024 12:00:00 AM
Specialist Technologist
- Naval Nuclear Laboratory
-
Ballston Spa, NY
- Working at the Naval Nuclear Laboratory we foster pride in belonging to an organization whose culture is made up of thes...
- 4/26/2024 12:00:00 AM
Health and Welfare Lead - Benefits Delivery Specialist
- GE Vernova
-
Schenectady, NY
- Job Description Summary Job Description Job Description Summary As a Health & Welfare Plan Supplier Manager, you will ha...
- 4/26/2024 12:00:00 AM
Payroll Specialist
- Canon USA & Affiliates
-
Albany, NY
- **Payroll Specialist - req1194** **OVERVIEW** The Payroll Specialist assists the finance department with day-to-day, mon...
- 4/25/2024 12:00:00 AM
Project Coordinator (Network Engineer and Subject Matter Expert for Gateway Migrations) Ref. #6668
- StateJobsNY
-
Albany, NY
- Minimum Qualifications: Five years of experience in network engineering. The following degrees may substitute for the ge...
- 4/24/2024 12:00:00 AM
Nuclear Power Plant Training Specialist (SME)
- Leidos
-
Ballston Spa, NY
- Description Looking for an opportunity to make an impact? At Leidos, we deliver innovative solutions through the efforts...
- 4/23/2024 12:00:00 AM
Project Manager Expert
- PSI International
-
Delmar, NY
- HBITS-05-13385 Project Manager 50% REMOTE - Delmar, NY Agency Name: Justice Center for the Protection of People with Spe...
- 4/22/2024 12:00:00 AM
Data Analyst and Visualization Specialist - Remote
- Workoo Technologies
-
Albany, NY
- About the job Data Analyst and Visualization Specialist - Remote The Data Analyst and Visualization Specialist is respon...
- 4/22/2024 12:00:00 AM
About Schenectady, New York
Schenectady (/skəˈnɛktədi/) is a city in Schenectady County, New York, United States, of which it is the county seat. As of the 2010 census, the city had a population of 66,135. The name "Schenectady" is derived from a Mohawk word, skahnéhtati, meaning "beyond the pines". Schenectady was founded on the south side of the Mohawk River by Dutch colonists in the 17th century, many from the Albany area. They were prohibited from the fur trade by the Albany monopoly, which kept its control after the English takeover in 1664. Residents of the new village developed farms on strip plots along the rive...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$40,903 to $50,215
Schenectady, New York area prices
were up 1.5% from a year ago
were up 1.5% 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