Referral Specialist

2 weeks ago


Lakeland MN United States Watson Clinic Full time

Required Education and Experience: High School Graduate or equivalent (GED and 4 years of related experience may be equivalent).

Preferred Education and Experience:One to two years referral experience preferred or basic working knowledge of referrals.

Additional Eligibility Qualifications: Knowledge of insurance plan referral requirements and referral processes. Ability to demonstrate excellent communication skills (oral and written). Ability to retain detailed information to perform daily duties and assist physician offices with proper referral processing. Ability to type 35wpm and have basic knowledge of IDX scheduling. Ability to multi-task in a fast paced environment and possess excellent organizational skills. Advanced telephone skills as a primary instrument of communication.

Summary/Objective: Responsible for ensuring that a patient's insurance allows them to access the services of the specialist's health care provider.

Essential Functions

Access information through the use of the billing system and the 3-day out report

Coordinates the pre-certification process between the physicians office and the insurance carrier.

Adds referral information into computer system as received from the insurance carrier

Maintains good communication with the physician offices and support staff to ensure efficient handling of referrals

Maintains resources and documents inquiry and actions taken in the Referral Comments

Addresses patient and health plan issues/concerns effectively

Adheres to department and Clinic policies and procedures

Attends departmental meetings to keep informed of departmental issues and policies


  • Referral Specialist

    5 days ago


    Lakeland, United States Watson Clinic Full time

    **Required Education and Experience**:High School Graduate or equivalent (GED and 4 years of related experience may be equivalent). **Preferred Education and Experience**:One to two years referral experience preferred or basic working knowledge of referrals. **Additional Eligibility Qualifications**:Knowledge of insurance plan referral requirements and...


  • Lakeland, United States RADIOLOGY & IMAGING SPECIALISTS of LAKELAND Full time

    RADIOLOGY AND IMAGING SPECIALISTSJOB DESCRIPTIONJob Title:LVI Scheduling SpecialistLocation:LVI/VCS ClinicDivision/Dept.:Radiology and Imaging SpecialistsReports To:Office SupervisorType of Shift:Full TimeJOB SUMMARYThe LVI Scheduling Specialist receives a high volume of physician referrals and schedules interventional radiologyprocedures while maintaining a...


  • Lakeland, United States RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND Full time

    Job DescriptionJob DescriptionRADIOLOGY AND IMAGING SPECIALISTSJOB DESCRIPTIONJob Title:LVI Scheduling SpecialistLocation:LVI/VCS ClinicDivision/Dept.:Radiology and Imaging SpecialistsReports To:Office SupervisorType of Shift:Full TimeJOB SUMMARYThe LVI Scheduling Specialist receives a high volume of physician referrals and schedules interventional...


  • Lakeland, United States Automotive Services Network Full time

    **Automotive Sales Specialist - Mazda Lakeland**: **SIGN-ON BONUS OFFERED** (Please discuss dealership payout terms during interview)** Holler and Classic Family Collection of Dealerships, a family-owned group of auto dealerships, representing four new car brands and two used car superstores, operates on a one price concept where managers and associates...

  • Outreach Specialist

    4 days ago


    Lakeland, United States St. Vincent de Paul CARES Full time $19

    MISSION STATEMENT: The mission of Society of St. Vincent de Paul CARES is to alleviate pain and suffering, in a spirit of justice and charity, through person-to-person involvement. SUMMARY: The Peer Outreach/Rapid Resolution Specialist provides direct outreach and pre-screening to Veterans who may be appropriate for the Supportive Services for Veteran...


  • Lakeland, United States One More Child Full time

    Job DescriptionJob DescriptionDepartment:Foster CareDirect Supervisor:Director of Foster CareHiring Manager(s):Director of Foster CareHiring Approver:Regional Senior Director of Foster Care; Executive Director of Foster CareClassification:Full-time (40-hour work week)FLSA Status:Exempt (Salaried)Description Updated:January 2019HR Approval Date: April 2024JOB...


  • Lakeland, United States Qgiv Full time

    Who are we? Qgiv exists to help people fulfill their passion to make a difference. Founded in 2007, Qgiv now provides thoughtfully-designed, user-friendly fundraising software to more than 6,500 nonprofits in the US and Canada. Nonprofits such as Habitat for Humanity, Big Brothers Big Sisters, Junior Achievement, Humane Societies, and more use Qgiv's online...


  • Lakeland, United States Early Learning Coalition of Polk County Full time

    Job DescriptionJob Description$38,000 per yearDescription: This position provides eligibility determination and referral services to families according to state and federal funding guidelines.Work is performed under general supervision with moderate latitude in the use of initiative. Position relies on experience to determine the best approach by using and...

  • Case Manager I

    1 month ago


    Lakeland, United States Tri-County Human Services Full time

    Job DescriptionJob DescriptionPrimary Duties and Responsibilities:Will identify, locate, and engage homeless individuals which meet the homelessness definition and link them to needed to services within local mainstream community resources. Under supervision of the Licensed Program Supervisor, the Outreach Case Management Specialist will identify homeless...


  • Lakeland, United States Qgiv Full time

    Who are we? Qgiv exists to help people fulfill their passion to make a difference. Founded in 2007, Qgiv now provides thoughtfully-designed, user-friendly fundraising software to more than 6,500 nonprofits in the US and Canada. Nonprofits such as Habitat for Humanity, Big Brothers Big Sisters, Junior Achievement, Humane Societies, and more use Qgiv's online...


  • Lakeland, United States Qgiv Full time

    Job DescriptionJob DescriptionWho are we? Qgiv exists to help people fulfill their passion to make a difference. Founded in 2007, Qgiv now provides thoughtfully-designed, user-friendly fundraising software to more than 6,500 nonprofits in the US and Canada. Nonprofits such as Habitat for Humanity, Big Brothers Big Sisters, Junior Achievement, Humane...


  • Lakeland, United States Summit Recruiting Group LLC Full time

    Optometry opening in Lakeland, FL 35m from Tampa; 50m from OrlandoSeeking a motivated, qualified Optometrist to join its well-established Ophthalmology Department in Lakeland, FL. Eye services feature four board-certified Ophthalmologists, three fellowship-trained Optometrists, including specialists in cataract, refractive, cornea, and oculoplastic surgery,...

  • Delivery Specialist

    2 weeks ago


    Doylestown, PA, United States The Faulkner Automotive Group Full time

    The Faulkner Automotive Group is looking for an enthusiastic, self-motivated Delivery Specialist to join our team at our Mercedes Benz location! Faulkner is a place you can establish a career and grow with the organization. While automotive experience is a plus, it is not required! We provide training to all our employees and offer continued growth...


  • Farmington, CT, United States Hartford HealthCare Full time

    Work where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing...


  • Lakeland, United States Watson Clinic Full time

    **Required Education and Experience**:High school graduate or equivalent. **Essential Functions** Verify demographics to avoid duplicate patients. Arrive patients in a timely manner obtaining and updating emergency contact information to include guarantor, addresses (i.e., seasonal, parents, etc.). Provides appropriate questionnaires to patients.. Monitors...


  • Farmington, CT, United States Hartford HealthCare Full time

    Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Occasional weekend rotation responsibility. Work where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of...


  • Minneapolis, MN, United States Allina Health Full time

    Number of Job Openings Available: 1 Date Posted: March 22, 2024 Department: 31009906 Neuroscience Clinic Shift: Day (United States of America) Shift Length: Hours Per Week: 40 Union Contract: Non-Union Weekend Rotation: Occasional Job Summary: Based in the Twin Cities of Minneapolis and St. Paul, Minnesota, Allina Health is a not for profit...


  • Lynnwood, WA, United States Express Employment Professionals Full time

    Position: Accounts Receivable Specialist Type: Contract or Evaluation to hirePay: $23-$25 per hour, DOESchedule: Monday – Friday, 8:00AM – 4:30PMThe Accounts Receivable Specialist effectively manages and resolves problems of the outstanding accounts receivable, which happens by ensuring timely receipt of payments from customers. You will be reaching...


  • Dallas, TX, United States CSI Pharmacy Full time

    CSI Pharmacy is hiring a PDP Insurance Billing Specialist to join our dynamic team. CSI Pharmacy is a nationwide specialty pharmacy, founded by pharmacists and dedicated to providing services for patients with chronic and rare illnesses that require complex care. This role will be based out of the Dallas, TX area.The PDP Insurance Billing Specialist will be...


  • Colmar, PA, United States AccentCare Full time

    Overview Why You'll Love Being a Clinical Support Specialist at AccentCare Do you enjoy providing outstanding patient care? Bring your organizational skills and knowledge of at-home care and join the AccentCare team today in this Clinical Support Specialist job. When you join AccentCare, you become part of a team that is not only dedicated to their patients,...