Referral Specialist

2 weeks ago


Omaha Nebraska, United States CommonSpirit Health Full time
Overview:
This position works primarily remote, with occasional need to hybrid to the office.

 

The Referral Specialist works with patients requiring a referral, to ensure patient’s referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.

Responsibilities:
Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.

Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.

Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.

Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.

Enter referrals, documents communications and action into the system, as appropriate. 

Notify physician(s) and patient when referral is denied, or if additional information is needed.

Develop and maintain database of referral physician offices preferred by each physician within the clinic.

Assist Practice Manager with complaint resolution and solutions related to patient referrals.

Perform other duties as assigned by the practice manager or physician.

Qualifications:
Required Minimum Knowledge, Skills, Abilities and Training

2 years of progressively responsible related experience in a 

Health care environment required.


  • Referral Specialist

    1 week ago


    Omaha, United States Common Spirit Full time

    Overview This is a remote position with the occasional need to go to the office for training. The Referral Specialist works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely...

  • Referral Specialist

    1 week ago


    Omaha, United States Catholic Health Initiatives Full time

    **Overview** **_This is a remote position with the occasional need to go to the office for training._** The Referral Specialist works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely...

  • Referral Specialist

    1 week ago


    OMAHA, United States CommonSpirit Health Full time

    This is a remote position with the occasional need to go to the office for training. The Referral Specialist works with patients requiring a referral, to ensure patient’s referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement. Gather, verify,...


  • Omaha, United States Sales Openings Full time

    Job DescriptionJob DescriptionDescription:If you have compassion and the passion for helping others, then we want you to join our growing team! Quipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry.Let’s start with what’s important to you. The...


  • Omaha, United States REVCO SOLUTIONS INC Full time

    Job DescriptionJob DescriptionDescription:APPLY NOW!! Full-Time Collection Specialist *on-site*We are currently seeking Full-Time Collection Specialists with a base pay of $15 per hour.Responsibilities:Handle customer calls and other customer service issues.Collect past due accounts.Retrieve records and information.Research, check, and verify...

  • Intake Specialist

    3 days ago


    Omaha, United States Total Respiratory & Rehab Full time

    Job DescriptionJob DescriptionSalary: $19 to $21, DOE, plus monthly bonus potentialINTAKE SPECIALISTJOB SUMMARYWe are looking for an Intake Specialist who is seeking their next exciting opportunity in a complex and ever-evolving work environment! In this role, you will utilize your exceptional customer service and phone skills to assist patients,...

  • Billing Specialist

    6 days ago


    Omaha, United States Baird Holm LLP Full time

    Job DescriptionJob DescriptionBaird Holm LLP is seeking a Billing Specialist to join our Accounting team. Bring us your experience in high-volume billing and we can offer you a great team environment, great benefits, flexible working environment, and the ability to play a key role in the overall success of the department.The Billing Specialist's primary...


  • Omaha, United States AdaptHealth Corp. Full time

    **Customer Service:** Customer Service Specialists are responsible for learning and understanding the entire front-end process to ensure successful service for our patients. The Customer Service Specialists works in a fast-paced environment answering inbound calls and making outbound calls. Maybe responsible for obtaining, analyzing, and verifying the...


  • Nebraska City, United States Common Spirit Full time

    Overview As our Behavioral Health Specialist with CHI Health, you'll help our patients and their families feel comfortable and educated when they're in the clinic. You will collaborate with a multidisciplinary team to help deliver effective treatments to our patients. You'll build trust in these interactions by advocating, supporting, and educating your...


  • Nebraska City, United States Catholic Health Initiatives Full time

    **Overview** As our Behavioral Health Specialist with CHI Health, you'll help our patients and their families feel comfortable and educated when they're in the clinic _._ You will collaborate with a multidisciplinary team to help deliver effective treatments to our patients. You'll build trust in these interactions by advocating, supporting, and educating...

  • Recovery Specialist

    1 month ago


    Omaha, United States Richdale Apartments Full time

    Overview: Richdale Apartments is a leading property management company dedicated to providing luxury multi-family communities while striving to cultivate a fun, productive and exciting work environment where hard work is recognized and rewarded. We are seeking a highly motivated and detail-oriented Recovery Specialist to join our team. As a Recovery...


  • Omaha, United States Aria Care Partners Full time

    Compassionate Care Tailored to the Unique Needs of SeniorsAria Care Partners is the next evolution of Senior Dental Care and Senior Vision Services. As the largest national specialty provider of onsite oral, vision, and now hearing services within a skilled nursing environment, we understand the unique needs of communities and their patients and the...


  • Nebraska City, United States Catholic Health Initiatives Full time

    Overview As our Behavioral Health Specialist with CHI Health, you’ll help our patients and their families feel comfortable and educated when they’re in the clinic . You will collaborate with a multidisciplinary team to help deliver effective treatments to our patients. You’ll build trust in these interactions by advocating, supporting, and...


  • Omaha, United States Helget Home Care Full time

    Job DescriptionJob DescriptionAs the Intake and Billing Specialist you will be responsible for performing all tasks and communication related to intake of patient information concerning the service of durable medical equipment and respiratory products and supplies with patients/clients, healthcare practitioners, co-workers, and referral sources as it relates...


  • Omaha, United States KVC Health Systems Full time

    ** Program Support Specialist NE** **Job Category****:** KVC Nebraska **Requisition Number****:** PROGR005323 Showing 1 location **Job Details** **Description** KVC Nebraska is looking for energetic, positive, caring professionals to join our team. If you are looking for a rewarding career and a compassionate, flexible work environment - KVC is the place for...


  • Omaha, United States Refresh Mental Health Full time

    Family Support and Visitation Specialist We dont just have a mission statementwe have a mission. At Capstone Behavioral Health, our commitment to optimal mental health and steadfast support isnt just for our clients; it extends to every team member. Capstone Behavioral Health realizes the strength of our practice is our exceptional staff. We support our...


  • Omaha, United States Agemark Full time

    Job DescriptionJob DescriptionWe are Agemark Senior Living and certified #17 in Fortune Best Workplaces for Aging Services! Our 30+ years of experience in Senior Living has given us the insight to focus on what matters for our Residents, their families, and our Employees. We take care of those that took care of us and believe in the philosophy - “Never...


  • Omaha, Nebraska, United States Catholic Health Initiatives Full time

    OverviewAs our Behavioral Health Specialist with CHI Health, you'll help our patients and their families feel comfortable and educated when they're in the clinic . You will collaborate with a multidisciplinary team to help deliver effective treatments to our patients.You'll build trust in these interactions by advocating, supporting, and educating your...


  • Omaha, United States Aria Care Partners Full time

    Compassionate Care Tailored to the Unique Needs of Seniors Aria Care Partners is the next evolution of Senior Dental Care and Senior Vision Services. As the largest national specialty provider of onsite oral, vision, and now hearing services within a skilled nursing environment, we understand the unique needs of communities and their patients and the...


  • Omaha, United States The Richdale Group Full time

    Overview Be a part of the team that develops and manages the best Class A communities in the Midwest! Richdale Apartments, a family owned and operated company which has continued growth since 1918, is hiring for an Accounts Payable Specialist. As a leader in the national owner / developer industry of luxury multi-family communities and commercial...