Referral Specialist jobs in the United States

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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Patient Access Specialist - Ambulatory Referral Coordination
  • Ambulatory Referral Coordination - UTMB Health Careers
  • Webster, TX FULL_TIME
  • Minimum Qualifications

    Bachelor’s degree or equivalent

    (High School or equivalent and two years customer service and/or clerical experience)

     

    Job Summary

    Represents the voice of UTMB. Creates a nurturing, competent and confident voice atmosphere for all callers to the Access Center. Is skillful in determining the callers need while maintaining a seamless atmosphere for the caller regardless of the need to navigate through multiple functions and departments.

     

    Essential Job Functions

     

    ·         Provides high level customer service skills for 24/7, 365 days a year Call Center.

    ·         Answers high volume of calls while multi-tasking with available resources to schedule appointments and assist callers with their specific needs.

    ·         Promotes positive and professional communication

    ·         Provides a professional and empathetic voice to the callers to nurture their needs

    ·         Analyzes caller concerns and determines best course of action to resolve and address their concern.

    ·         Gateway to appointment scheduling for large numbers of UTMB clinics.

    ·         Efficiently communicates callers request and determines the best solution.

    ·         Able to cancel and reschedule based on patients’ needs and clinic guidelines

    ·         Escalates patient concerns and issues-utilizing defined processes

    ·         Able to preregister patients as required; obtains patient demographics and insurance information and updates as required to ensure most accurate information is on file

    ·         Works with Access center nursing staff to quickly identify and resolve urgent patient issues.

    ·         Listens to and re-emphasizes caller concerns, ensuring accurate triages and effective communications.

    ·         Facilitates physician consultation requests and assists with patient referrals when appropriate.

    ·         Is knowledgeable and proficient in the use of AMCOM, EPIC, Invision, CECC and other software applications used to store and manage patient information and facilitate patient care.

    ·         Utilizes several media applications in unison to resolve caller concerns and understands the purpose and proper use of each system

    ·         Enforces UTMB regulations and guidelines when utilizing the systems

    ·         Is knowledgeable of the entire institution, all clinical departments and resources, Locations, contact information, Scheduling guidelines, Personnel resources, Area specific guidelines, Age specific guidelines, Disease process specific guidelines and Basic guidelines related to consumer health plans.

    ·         Is knowledgeable and proficient in the scheduling process for all clinic areas

    ·         Understands the procedures for each clinic and educates the caller

    ·         Skilled at utilizing software applications for making appointments

    ·         Utilizes critical thinking to determine call priority to support nursing intervention

    ·         Enhances customer confidence by expediting callers concerns to appropriate individuals

    ·         Crucial to the facilitation of the consumer online appointment request system

     

    Salary Range

    Actual salary commensurate with experience.

     

     

     

    Equal Employment Opportunity

    UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.

    Compensation
  • 1 Day Ago

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Patient Access Specialist - Ambulatory Referral Coordination (Webster)
  • Ambulatory Referral Coordination (Webster) - UTMB Health Careers
  • Webster, TX FULL_TIME
  • Minimum Qualifications Bachelor’s degree or equivalent (High School or equivalent and two years customer service and/or clerical experience) Job Summary Represents the voice of UTMB. Creates a nurturi...
  • 11 Days Ago

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Billing Specialist
  • Career and Referral
  • Portland, OR 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...
  • 2 Days Ago

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Application Specialist
  • Career and Referral
  • Lakeview, NY FULL_TIME
  • At Trane Technologies™ 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 ...
  • 9 Days Ago

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Client Services Specialist- Tampa
  • Career and Referral
  • Tampa, FL 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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Equipment Applications Specialist - Sioux Falls, SD
  • Career and Referral
  • Sioux Falls, SD FULL_TIME
  • Trane in Sioux Falls, South Dakota is hiring an Applications Specialist (Equipment). In this role, you will be responsible for the equipment portion of various projects including validating the equipm...
  • 2 Days Ago

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Payment Specialist
  • HJW Executive Search LLC
  • Dublin, OH
  • My firm is working with a growing financial organization who is looking for a Payment Operations Specialist will have a ...
  • 4/25/2024 12:00:00 AM

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • Columbus, OH
  • Job Summary: We are actively searching for a Subject Matter Expert (SME) with a comprehensive background in health admin...
  • 4/25/2024 12:00:00 AM

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Referral Specialist /Medical Assistant
  • Trinity Health
  • Grove City, OH
  • Employment Type: Full timeShift: Description: Referral Specialist/ Medical Assistant Why Mount Carmel? With five hospita...
  • 4/25/2024 12:00:00 AM

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Payment Specialist
  • Hjw Executive Search Llc
  • Dublin, OH
  • My firm is working with a growing financial organization who is looking for a Payment Operations Specialist will have a ...
  • 4/23/2024 12:00:00 AM

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Online Side Hustle Expert and Mentor
  • Fud, Inc.
  • Columbus, OH
  • We are a growing start-up company looking for an Online Side Hustle Expert and Mentor to join our community. As an Onlin...
  • 4/23/2024 12:00:00 AM

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Product Support Specialist
  • FloQast, Inc.
  • Columbus, OH
  • **Product Support Specialist** Columbus, Ohio / Customer Success Product Support / Full-time FloQast is fanatic about th...
  • 4/22/2024 12:00:00 AM

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Payment Operations Specialist
  • Iq Ventures
  • Dublin, OH
  • The Payment Operations Specialist will have a deep working knowledge of credit and debit card services, payment card net...
  • 4/22/2024 12:00:00 AM

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Online Side Hustle Expert and Mentor
  • Fud Inc.
  • Columbus, OH
  • We are a growing start-up company looking for an Online Side Hustle Expert and Mentor to join our community. As an Onlin...
  • 4/21/2024 12:00:00 AM

Income Estimation for Referral Specialist jobs
$40,418 to $49,620