Referral Specialist jobs in Alaska

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. Additionally, Referral Specialist resolves pre-certification, registration, and case-related issues. Documents referrals, communications, actions, and other data in an information system. Generates and distributes all applicable forms, notifications, and paperwork. May require an associate degree. 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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Referral/Pre-Auth Specialist - Rehab Therapy
  • PeaceHealth
  • Ketchikan, AK FULL_TIME
  • Description

    PeaceHealth Ketchikan Medical Center is seeking a Referral/Pre-Auth Specialist with our Rehab Therapy department for a Full Time, 1.00 FTE, Day position. The general salary range for this job opening at PeaceHealth is $19.90 – $29.84. The actual hiring rate is dependent upon several factors, including but not limited to, the job/position responsibilities, location, terms of the applicable collective bargaining agreement, education, training, work experience, seniority, work performance, etc.

    Job Summary

    Responsible for receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides customer service and support for the clinical areas and patients for referrals and prior authorizations.

    Details of position:

    • Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre-authorization for patients and re-authorization of additional treatment. Ensures insurance carrier documentation requirements are met and referral support documentation is filed in patient’s medical record.
    • Efficiently manages correspondence with patients, physicians, specialists, and insurance companies. Documents pertinent information on referral form and/or in medical record. Ensures practitioners are following standardized guidelines as recommended by evidenced based medicine.
    • Works in collaboration with Patient Financial Services to improve the Revenue Cycle process. Continually improve work process to enhance service and customer relations.
    • Works to improve Managed Care processes, communication, and patient care as it relates to Managed Care. Keeps up with continual changes in the health insurance Managed Care arena and communicates those changes as appropriate.

    What you bring:

    • Accredited School Preferred: Business. or two years college in related field
    • Minimum of 3 years Required: Experience working in insurance in a medical related field or other related experience and demonstrated experience in insurance requirements for referrals and/or prior authorizations to various therapies, surgeries, procedures, diagnostic testing, etc
    • Preferred : Medical Assistant, LPN, or RN
    • Proficient computer skills including MS Office applications. (Required)
    • Good communication skills, both verbal and written. (Required)

    PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program


    See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

    For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

    PeaceHealth requires a completed Primary Vaccine Series (e.g., 2 dose monovalent Pfizer, Moderna or Novavax series or 1 dose J&J vaccine series) or be Up to Date (receiving the most recent Pfizer/Moderna bivalent vaccine/booster) for COVID-19 vaccination prior to their start date. PeaceHealth has a medical and religious exemption request process for those that are unable to receive the COVID-19 primary vaccine series due to medical/religious reasons. For caregivers that will be working in Oregon there is a personal vaccine exemption form that may be requested.

  • 1 Month Ago

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Journeyman HVAC Service Technician - Anchorage, AK
  • Career and Referral
  • Anchorage, AK 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...
  • 1 Month Ago

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Certified Medical Assistant
  • Denali Healthcare Specialist
  • Anchorage, AK FULL_TIME
  • Established and rapidly growing medical practice seeks certified medical assistant to join its team of dedicated healthcare professionals. Work Hours: 40 hours per week (Monday through Thursday). Job ...
  • 7 Days Ago

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CeCN Referral Coordinator-Remote
  • Community E Consult Network, Inc.
  • Remote, AK FULL_TIME
  • Job Description Summary : Job Description : Hours for this position will be 9 : 30-6pm PST or 12 : 30-9pm EST Community eConsult Network (CeCN) is seeking a motivated, experienced individual intereste...
  • 19 Days Ago

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REFERRAL CARE COORDINATOR
  • SouthEast Alaska Regional Health Consortium
  • Kake, AK FULL_TIME
  • About Us: SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further t...
  • 21 Days Ago

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REFERRAL CARE COORDINATOR
  • SouthEast Alaska Regional Health Consortium
  • Juneau, AK FULL_TIME
  • About Us: SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further t...
  • 21 Days Ago

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Referral Specialist
  • Connecticut Institute For Communities Inc.
  • Danbury, CT
  • Connecticut Institute for Communities, Inc. Description: Job Description: Medical Referral Specialist We are seeking a c...
  • 3/28/2024 12:00:00 AM

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Referral Specialist (remote)
  • Morgan Stephens
  • Bethesda, MD
  • Job Title: Remote Referral Specialist Hours: Monday - Friday Two shifts: 7:30am - 4pm or 9am - 5:30pm Location: Full rem...
  • 3/28/2024 12:00:00 AM

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Admissions Referral Specialist
  • UHS
  • Doylestown, PA
  • Responsibilities We are currently hiring a full-time Admissions Referral Specialist to join our Intake team! We offer fl...
  • 3/28/2024 12:00:00 AM

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Referral Specialist
  • Catholic Health Initiatives
  • Minot, ND
  • **Overview** CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. Wi...
  • 3/27/2024 12:00:00 AM

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Referral Specialist
  • UCHealth
  • Aurora, CO
  • Description Location: UCHealth UCHlth 2450 Peoria Admin Services, US:CO:Aurora Department: UCHlth Patient Line Referrals...
  • 3/26/2024 12:00:00 AM

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Referral Specialist Primary Care
  • UHS
  • Aiken, SC
  • Responsibilities ABOUT AIKEN PHYSICIANS ALLIANCE Aiken Physicians Alliance is affiliated with Aiken Regional Medical Cen...
  • 3/26/2024 12:00:00 AM

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Claims Referral Specialist I
  • LIBERTY Dental Plan
  • Tustin, CA
  • Job Details Job Location LIBERTY Dental Plan of California - Tustin, CA Remote Type Hybrid Position Type Full Time Job S...
  • 3/26/2024 12:00:00 AM

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Referral Specialist (Accordia Pediatrics)
  • AltaPointe Health
  • Mobile, AL
  • Overview: Explore our job opportunities at AltaPointe.org, submit your online application, and then join us for Open Int...
  • 3/25/2024 12:00:00 AM

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$43,719 to $53,781

Referral Specialist in Paramus, NJ
The information and referral series is designed to promote public access to a variety of services available through local agencies and programs.
January 20, 2020
Referral Specialist in Clarksville, TN
These referrals are for individuals requiring services related to quality early learning and licensed child care, and children, youth, and adults with developmental disabilities including Coordinated Information Peel, Respite Services and Kids Pathways Peel.
January 29, 2020
Referral Specialist in Fairbanks, AK
A referral specialist may be required to communicate via email and letter, phone, or in person.
December 12, 2019