Referral Specialist jobs in Rhode Island
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
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Providence, RI
OTHER
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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 - 2 Months 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...
- 15 Days 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 ...
- 25 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 ...
- 2 Months Ago
Residential Case Manager-Referral Bonus
- Care New England
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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...
- 2 Months Ago
TPC-Residential Case Manager-Referral Bonus
- Care New England
-
Providence, RI
FULL_TIME
- Schedule: Part Time-Friday 3:00pm-11:00pm, Saturday 3:00PM-11:00PM, Sunday 7:00AM-3:00PM Job Summary: Provide clinical case management services in order to facilitate program goals and objectives usin...
- 20 Days Ago
Referral Specialist jobs at Popular Companies
About Rhode Island
Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$42,308 to $51,939
Most Popular Cities in Rhode Island for Referral Specialist Jobs
What does a Referral Specialist do?
Referral Specialist in Paramus, NJ
The information and referral series is designed to promote public access to a variety of services available through local agencies and programs.
January 20, 2020
Referral Specialist in Clarksville, TN
These referrals are for individuals requiring services related to quality early learning and licensed child care, and children, youth, and adults with developmental disabilities including Coordinated Information Peel, Respite Services and Kids Pathways Peel.
January 29, 2020
Referral Specialist in Fairbanks, AK
A referral specialist may be required to communicate via email and letter, phone, or in person.
December 12, 2019