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Resource Referral Specialist Jobs

Medical Referral Specialist Jobs
By Kalihi Palama Mental Health At Honolulu, HI, United States

+-----------------------------------------------------------------------+ | Primary Purpose: | | | | The person in this position is a member of the Patient Centered | | Health Care Home team where ...

Referral Specialist-Remote Eligible ($19.67 - $25.57 / Hour)
By Talentify.io At United States
Verify eligibility and benefits, obtain authorizations for treatment or precertification of high-cost drugs
Track referrals to ensure compliance with guidelines and formulary requirements
Maintain information on health plan guidelines and provide training on plan requirements
6 months' experience in healthcare
This position is remote eligible. Must reside in Colorado.
UCHealth offers a Five Year Incentive Bonus to recognize employee contributions
Content Resource Specialist Jobs
By Vaibhav Global At , Remote
Manage internal digital asset management system (Cloudinary) for optimal performance by tagging and labeling content and enforcing organizational standards.
All other duties as assigned by the manager.
Create daily collections of content for directors to use during live shows.
Maintain consistent communication with production and creative teams regarding their needs and adapt processes as needed.
Provide organizational support for production and creative teams as needed.
Collaborate with global teams (TJC, India) to make cohesive organizational systems to share content across multiple channels.
Referral Specialist Jobs
By Lake County Illinois At , $17.87 - $20.91 an hour
Knowledge Skills Abilities and Education Required
Previous experience in a medical office with a thorough understanding of Medicaid, Medicare, Managed Care Organizations, and PPOs preferred.
Data entry and basic computer skills are required.
Prepares correspondence and any other required documentation related to the above position responsibilities.
Accurately performs data entry of program-related data and information in the appropriate computer systems.
Develops and maintains a basic knowledge of services available at the LCHD/CHC.
Referral Specialist (40 Hrs/Week, Days)
By EvergreenHealth At , Kirkland, 98034 $21.60 - $34.56 an hour
License, Certification, Education or Experience:
Pay in lieu of benefits premium program
Medical, vision and dental insurance
Retirement plans (457(b) and 401(a) with employer contribution)
Tuition assistance for undergraduate and graduate degrees
Federal Public Service Loan Forgiveness program
Referral Intake Specialist-Orc Jobs
By Loma Linda University Health At , Loma Linda

Medical Center: Rehab Core OP (Full Time, Day Shift) -

Referral Specialist, Ym Care Center
By Yale University At , New Haven, 06511
Preferred Education, Experience and Skills:
Referral Specialist, YM CARE Center
Clinical Affairs - YMA CARE Center
L34 - Local 34 (Yale Union Group)
Click here to see our Wage Ranges
Total # of hours to be worked:
Benefits Counseling & Referral Specialist I
By NCTCOG At , Arlington, 76005 $21.99 an hour
Conducting plan comparisons for Part D prescription drug benefits;
Providing information and referral regarding other public benefits such as subsidized housing and energy assistance programs;
Conducting presentations for groups of older adults and family caregivers on Medicare benefits;
Providing technical assistance to certified volunteer benefits counselors as needed.
Advising Medicare beneficiaries (both current and prospective) of covered goods and services under Parts A, B, and D;
Providing objective counseling regarding Medicare Advantage Plans and helping beneficiaries make informed choice regarding Medicare Advantage Plans versus traditional Medicare;
Referral Support Team Intake Specialist
By CEDARS-SINAI At , Los Angeles $26.31 - $40.78 an hour
Knowledge of CPT and ICD-10 codes preferred
Connect with current clients to ensure customer happiness via ‘outbound calls’ that support outreach efforts while providing concierge care.
Maintain accurate and complete records for each referral by entering information into CS-Link.
Be responsible for financial clearance of referrals from non-contracted entities, from specific product lines, prior to triaging to tertiary program.
Monitor existing referrals to ensure patients are scheduled timely.
Proven understanding in California health insurance market including a proven understanding of HMO product lines.
Referral Specialist Jobs
By Lifespan Physician Group At , Providence, 02903

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 ...

Crisis & Referral Specialist (Contract)
By Elevance Health At , Remote

Responsible for screening, assessing, training, and providing telephonic intervention/de-escalation for helpline callers using established protocols to determine an immediate course of action. Primary ...

Transfer & Referral Specialist Jobs
By Sutter Health At , Novato $32.28 - $48.42 an hour
Working knowledge of managed care requirements and processes.
Bachelor's: Business and/or Healthcare Administration, or related field or equivalent education/experience
Knowledge of insurance authorization process and HIPPA requirements.
Organization skills to effectively manage and/or re-prioritize activities and projects to meet deadlines while maintaining a high degree of responsiveness.
knowledge of insurance authorization process and HIPPA requirements.
2 years' experience in an acute and/or non-acute healthcare setting.
Revenue & Referral Intake Specialist
By Legacy Health At , Vancouver, 98664, Wa
Knowledge of insurance and managed care practices preferred.
Provides education and customer service to providers, staff and patients regarding the department referral process.
Provides data entry and clerical support for the referral process for both pre-paid and fee-for-service health plans.
Understands each health plan’s guidelines, benefits and basic risk models.
Takes on special responsibilities and projects in areas as requested.
Associate’s degree in business or healthcare, or equivalent experience, required.
Referral Specialist Jobs
By Mountain Management Services At , Ringgold, 30736, Ga $15.00 - $18.41 an hour
Knowledge of clinic referral and scheduling processes and billing/authorization requirements.
Knowledge of federal and state pay requirements, including Medicare, DSHS, HMO/PPO Contracts.
Gather, verify, and process orders for test, referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
2 years of progressively responsible related experience in a healthcare office environment specializing in the referral process is preferred.
Experience in AEHR and PPMS systems is preferred.
Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.
Referral Scheduling Specialist Jobs
By SwedishAmerican Medical Group At , , Il
Above average written communication skills are required.
Successful completion of annual job specific competencies and skill verification tools required.
Scheduling and coordinating provider appointments, outpatient diagnostic testing, and procedures
Meet or exceed Key Performance Indicator expectations
Full Time · Day Shift · M-F 8-5, with potential to alter schedules to accommodate reaching patients
This position supports UW Health Northern Illinois with the following processes:
Referral Specialist Jobs
By Northwestern Medicine At , Chicago, 60611, Il
Excellent organizational, time management, analytical, and problem solving skills.
Exceed all consumer requests and alert management of issues or concerns that require escalation.
Healthcare finance and/or healthcare insurance experience.
Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.
Registers and educate consumers on classes in programs offered by.
Obtains knowledge about hospital product lines and medical staff to enable cross marketing of services.
Referral Specialist I (Remote)
By Elevance Health At District of Columbia, United States
1-3 years of experience in a high-volume, interactive customer service or call center environment, with working knowledge of medical terminology;
Or any combination of education and experience, which would provide an equivalent background.
Initiates and manages clinical referrals for pre-authorization.
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
Reviews referrals for completeness and follows up for additional information if necessary.
Referral Specialist I (Remote)
By Elevance Health At Oklahoma City Metropolitan Area, United States
1-3 years of experience in a high-volume, interactive customer service or call center environment, with working knowledge of medical terminology;
Or any combination of education and experience, which would provide an equivalent background.
Initiates and manages clinical referrals for pre-authorization.
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
Reviews referrals for completeness and follows up for additional information if necessary.
Referral Specialist I (Remote)
By Elevance Health At Los Angeles, CA, United States
1-3 years of experience in a high-volume, interactive customer service or call center environment, with working knowledge of medical terminology;
Or any combination of education and experience, which would provide an equivalent background.
Initiates and manages clinical referrals for pre-authorization.
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
Reviews referrals for completeness and follows up for additional information if necessary.
Resource Specialist Jobs
By Pike County Conservation District At Hawley, PA, United States

Pike County Conservation District is accepting applications for a full-time Resource Conservationist. The position involves a variety of administrative, technical and operational-level work in the ...