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)
Job Title: Remote Referral Specialist
Hours: Monday - Friday
Two shifts: 7:30am - 4pm or 9am - 5:30pm
Location: Full remote - DC Metro area candidates only
Compensation: $24-28/hr Medical benefits and PTO
Company Overview: A leading managed care organization committed to providing high-quality healthcare services to our members. We pride ourselves on delivering comprehensive care solutions that prioritize patient well-being and satisfaction. As we continue to grow, we are seeking a dedicated Remote Referral Specialist to join our team and contribute to our mission of delivering exceptional healthcare experiences.
Position Overview: As a Remote Referral Specialist, you will play a vital role in facilitating the referral process for our members, ensuring they receive timely access to the care they need. This position requires a strong understanding of authorization procedures within managed care organizations, as well as excellent communication and organizational skills. The successful candidate will work remotely, collaborating with various stakeholders to streamline the referral process and enhance the overall patient experience.
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Join our team and make a difference in the lives of our members by ensuring they have access to the care they need, when they need it. Apply now to become a valued member of our Remote Referral Specialist team
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