Referrals Specialist

2 weeks ago

National City, United States San Ysidro Health Full time

**Position Summary**:
Under the direct supervision of the Referrals Supervisor, the Referrals Specialist is responsible for the timely processing, documenting, scheduling and follow up of referrals and request for treatment authorizations as requested by the primary physician.

**Essential Functions of the Job**:

- Receives and processes authorizations in a timely manner with attention to quality, accuracy, and completeness of work.
- Schedules requests for referrals and treatment authorizations.
- Follows-up on missing documentation to obtain authorization when appropriate.
- Schedules appointments for specialty care, special studies, Durable Medical Equipment (DME) or other ancillary services as requested by the primary care physician.
- Coordinates care within the guidelines of multiple health plans, contracts, or insurance types.
- Uses various modules of the computer system to obtain information, schedule appointments, query information and obtain authorizations.
- Responds to inquiries as to statuses of authorizations by assessing the request and evaluating the circumstances to provide regular, consistent, timely, and meaningful information to our patients.
- Demonstrates professionalism verbally and non-verbally and tailors communication styles to the need of the recipient.
- Listen to patient’s concerns, via phone or in-person, and address their needs accordingly.
- Seeks different points of view and leverages diverse perspectives.
- Meets established or agreed upon deadlines.
- Work on closing the referrals loop; review the referral log weekly to determine which patients have kept their specialty or consultation appointments.
- Update referrals with the date and time of appointments.
- Document if the patient kept their appointment, reach out to Specialist or Facility to request visit notes or results to be faxed to Referrals main fax number within 5 working days of visit.

**Additional Duties and Responsibilities**:

- Maintains established departmental policies and procedures.
- Enhance professional growth and development through continued education and training.
- Working at different sites/locations is required based on business and staffing needs or for trainings as deemed necessary.
- Attends meetings as required and participates in committees as directed; works cooperatively with others to meet shared objectives.
- Fosters an environment that encourages group participation and inclusiveness.
- Use a solutions-based approach to help improve processes and workflows.
- Performs other related duties as assigned or requested by Supervisor or Manager.

**Job Requirements**:Education Required (Minimum level of education)**:
High School Diploma or GED, or 3 or more years of relevant work experience in lieu of education.

**Certifications/Licenses Required**:
CA driver’s license and an insured vehicle - local travel is required as necessary for business needs, such as staffing coverage and required training.
Coding and Data Processing or Medical Assistant Certificate are helpful.

**Experience Required (Minimum level of experience)**:
A minimum of 6 months experience working in a healthcare setting to include both front and back office and/or referral authorization experience, as well as knowledge of different health plans, programs, and eligibility guidelines, and at least 2 years of customer service experience.

**Verbal and Written Skills Required to Perform the Job**:
Bilingual (Spanish/English) is required. Excellent verbal and written communication skills. Knowledge of basic medical terminology.

**Technical Knowledge and Skills Required to Perform the Job**:

- Basic medical terminology and computer skills. Microsoft Office experience (Word, Excel, Outlook) is a plus.
- Understanding of electronic medical records systems. Experience with EPIC is a plus.
- Typing 35 wpm.
- Ability to multi-task and prioritize tasks based on urgency.
- Be attentive to patient needs and concerns.
- Ability to work independently as well as with a team.

**Equipment Used**:
Computer, phone, and fax machine. Personal insured vehicle for required coverage at different SY Health sites.

**Working Conditions and Physical Requirements**:
Prolonged sitting, walking, constant telephone communication.

**Universal Requirements**:

  • Referral Specialist

    4 days ago

    Rapid City, United States Rapid City Medical Center Full time

    Rapid City Medical Center is seeking a full-time Referral Specialist for our GI Department at Rapid City Medical Center. Duties will include, but not limited to, scheduling of incoming referrals, sending out procedure intakes, preparation/mailing out procedure letters, scheduling post-hospital, post tec, and recheck appointments. Qualified applicants will...

  • Referral Specialist

    4 days ago

    Rapid City, United States Rapid City Medical Center Full time

    Job DescriptionJob DescriptionSalary: $17.00Rapid City Medical Center is seeking a full-time Referral Specialist for our GI Department at Rapid City Medical Center. Duties will include, but not limited to, scheduling of incoming referrals, sending out procedure intakes, preparation/mailing out procedure letters, scheduling post-hospital, post tec, and...

  • Referral Specialist Sun City West

    4 days ago

    Sun City, United States Banner Health Full time

    Primary City/State: Sun City West, Arizona Department Name: C/P-SCW Gastroenterology-Clnc Work Shift: Day Job Category: Administrative Services Great careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout...

  • Marketing Specialist

    3 days ago

    National City, United States Heart & Wellness Center Full time

    Description Position at Heart & Wellness Center Job SummaryWe are looking for an enthusiastic Marketing Specialist and Brand Ambassador to help us in our overall marketing efforts. The ideal candidate will have a high impact on the growth of HWC spearheading initiatives that will help engage our referral sources and community. You will be an integral part of...

  • Referral Specialist- Dade City, Fl

    1 week ago

    Dade City, United States Premier Community Healthcare Grp. Full time

    **Referral Specialist** **Summary**:Obtains verification and authorization for treatment as Primary Care Physician (PCP) deems necessary for continued patient care. **PROFESSIONAL KNOWLEDGE, SKILLS AND ABILITES**: - High School Diploma or GED. - Basic understanding of medical terminology and documentation. - Ability to use basic mathematical skills. -...

  • Marketing Specialist

    18 hours ago

    National City, United States Heart & Wellness Center Full time

    Description Position at Heart & Wellness Center Job Summary We are looking for an enthusiastic Marketing Specialist and Brand Ambassador to help us in our overall marketing efforts. The ideal candidate will have a high impact on the growth of HWC spearheading initiatives that will help engage our referral sources and community. You will be an integral part...

  • Marketing Specialist

    1 week ago

    National City, United States Heart & Wellness Center Full time

    Description Position at Heart & Wellness Center Job SummaryWe are looking for an enthusiastic Marketing Specialist and Brand Ambassador to help us in our overall marketing efforts. The ideal candidate will have a high impact on the growth of HWC spearheading initiatives that will help engage our referral sources and community. You will be an integral part...

  • Referral Specialist- Dade City, FL

    1 week ago

    Dade City, United States Premier Community Healthcare Grp. Full time

    Job DescriptionJob DescriptionReferral SpecialistSummary: Obtains verification and authorization for treatment as Primary Care Physician (PCP) deems necessary for continued patient care. PROFESSIONAL KNOWLEDGE, SKILLS AND ABILITES:High School Diploma or GED.Basic understanding of medical terminology and documentation. Ability to use basic mathematical...

  • Referral Specialist, Full Time Day- Pulmonary Specialists Plaza

    4 weeks ago

    Kansas City, United States Saint Luke's Health System Kansas City Full time

    Job Description Saint Luke's Pulmonary Clinic in Kansas City is seeking a Referral Specialist to join our team. You will have the opportunity to provide customer service to patients, families, physicians, physician offices, the community, and internal departments throughout SLHS for assigned location. Shift Details: Full Time Day Responsibilities: *...

  • Referral Specialist

    4 days ago

    Bay City, United States McLaren Health Care Full time

    Under general supervision, processes patient referrals to other healthcare practices per provider request. Ensures that patients receive information regarding their referral prior to their scheduled appointment with the external provider. Processes proper insurance authorizations prior to patient's scheduled appointments. Required: * High school diploma or...

  • Referral Specialist, Full Time Day- Pulmonary Specialists Plaza

    1 month ago

    Kansas City, United States Saint Luke's Health System Full time

    Job Description​ Saint Luke’s Pulmonary Clinic in Kansas City is seeking a Referral Specialist to join our team. You will have the opportunity to provide customer service to patients, families, physicians, physician offices, the community, and internal departments throughout SLHS for assigned location.    Shift Details: Full Time...

  • Equipment Rental Specialist

    3 days ago

    National City, United States Sunbelt Rentals Full time

    Join Our Team! Sunbelt Rentals strives to be the customer's first choice in the equipment rental industry. From pumps to scaffolding to general construction tools, we aim to be the only call needed to outfit a job site with the proper equipment. Not only do we offer a vast fleet that ranks among the best in the industry, we pair it all with a friendly and...

  • Speech Language Pathologist in California

    3 days ago

    National City, United States AB Staffing Full time

    Speech Language Pathologist - National City, CA 91950 Are you ready to explore new places while building your resume? At AB Staffing, we specialize in placing Allied Health providers in facilities throughout the United States. Our travel assignments range from three (3) months to one year, and can be added onto another assignment or area, giving you the...

  • Surgery in California

    2 weeks ago

    National City, United States AB Staffing Full time

    Surgery - National City, CA 91950 Are you ready to explore new places while building your resume? At AB Staffing, we specialize in placing Travel Nurses in facilities throughout the United States. Our travel assignments range from three (3) months to one year, and can be added onto another assignment or area, giving you the opportunity to broaden your...

  • Travel CT Technologist

    5 days ago

    National City, United States Travel Nurses, Inc. Full time

    Job DescriptionTravel Nurses, Inc. is seeking a travel CT Technologist for a travel job in National City, California.Job Description & RequirementsSpecialty: CT TechnologistDiscipline: Allied Health ProfessionalDuration: 12 weeks40 hours per weekShift: 8 hours, nightsEmployment Type: TravelJob DescriptionWe are looking for CT Rad Tech for an immediate...

  • Travel CT Technologist

    17 hours ago

    National City, United States LanceSoft Full time

    Job DescriptionLanceSoft is seeking a travel CT Technologist for a travel job in National City, California.Job Description & RequirementsSpecialty: CT TechnologistDiscipline: Allied Health ProfessionalStart Date: 06/09/2024Duration: 13 weeks40 hours per weekShift: 8 hours, nightsEmployment Type: TravelPerks: 401(k), Day one Dental, Health and Vision...

  • Health Specialist

    4 weeks ago

    Jersey City, United States Greater Bergen Community Action Full time

    **JOB DESCRIPTION** **Title**:Health Specialist** **Reports to**: Director of Health Services **FLSA**:Exempt** **LPN's & RN's ONLY** **Responsibilities**: - Directs and supervises Health Specialist Assistant(s) and/or Health Aide(s) - Responsible for yearly evaluations of Health Specialist Assistant(s) and/or Health Aide(s) - Learns and adheres to the...

  • Travel CT Technologist

    2 days ago

    National City, United States Jackson Therapy Partners Full time

    Jackson Therapy Partners is seeking a travel CT Technologist for a travel job in National City, California.Job Description & RequirementsSpecialty: CT TechnologistDiscipline: Allied Health ProfessionalStart Date: 06/17/2024Duration: 13 weeksEmployment Type: TravelSetting: HospitalMake a meaningful impact as a Computed Tomography Technologist at a reputable...

  • Travel CT Technologist

    5 days ago

    National City, United States Jackson Therapy Partners Full time

    Job DescriptionJackson Therapy Partners is seeking a travel CT Technologist for a travel job in National City, California.Job Description & RequirementsSpecialty: CT TechnologistDiscipline: Allied Health ProfessionalStart Date: 06/17/2024Duration: 13 weeksEmployment Type: TravelSetting: HospitalMake a meaningful impact as a Computed Tomography...

  • Marketing Specialist

    18 hours ago

    Kansas City, United States Advantage Home Care Full time

    At Advantage Home Care, we are looking for a passionate and creative Marketing Specialist to join our team. As a Marketing Specialist, you will play a crucial role in developing and executing marketing strategies to promote our services and attract new clients. If you have a strong background in marketing and a talent for engaging audiences, we want to hear...