Referral Specialist jobs in Apple Valley, CA

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 when necessary. Additionally, Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. 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 Intake Specialist-ORC
  • Loma Linda University Health
  • Loma Linda, CA FULL_TIME
  • Job Summary: The Referral Intake Specialist-ORC reviews and analyzes patient referrals for preauthorization, concurrent review and case management for outpatient and inpatient service areas. Obtains benefits and eligibility as well as authorizations or pre-certifications as required, schedules patient appointments as authorized. Educates and informs staff, physicians and the community about services offered. Maintains a working relationship with internal and external referral sources by traveling and completing a daily distribution/pick up run to providers. Allows Rehabilitation Services to stay in consistent communication with the referring specialties and providing necessary updates. This position serves all areas of Rehabilitation Services. Performs other duties as needed.

    Education and Experience: High School Diploma or GED required. Minimum one year of call center experience in a customer service, sales environment, or clinical experience required. Minimum three years of experience in healthcare customer service call center preferred.

    Knowledge and Skills: Able to demonstrate excellent customer service and good communication skills, with emphasis on telephone etiquette. Able to keyboard 30 wpm. Able to read; write legibly; speak in English (and Spanish preferred) with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook). Operate/troubleshoot basic office and patient care equipment required for the position; perform required patient care activities related to the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

    Licensures and Certifications: None.




    Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.
    Loma Linda University and Health System is an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Talent Acquisition at 909-651-4001 or 909-558-4006 (TTY).

     

  • 25 Days Ago

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Referral Coordinator
  • Pulse Cardiology
  • San Bernardino, CA FULL_TIME
  • Job Title/Position: Eligibility Benefits and referral Coordinator/Daily Job Responsibilities Reports To: Service Center Lead/ Practice Administrator Job Description Summary Timely and accurate verific...
  • 1 Day Ago

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Referral Clerk
  • AAI
  • Twentynine Palms, CA FULL_TIME
  • REFERRAL CLERK Twenty-Nine Palms AAI is actively looking for a referral Clerk. This position provides clerical/administrative support in the Referral Management Center for customer service, referral t...
  • 4 Days Ago

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Referral Coordinator
  • California Practice Staff
  • Palm Springs, CA OTHER
  • Desert Family Medicine- Residency Clinic Summary: A non-exempt medical office position responsible for all referrals for the medical offices in the market Essential Job Responsibilities: Process patie...
  • 5 Days Ago

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Referral Coordinator
  • Metropolitan Family Medical Clinic
  • Rialto, CA FULL_TIME
  • Referral/authorization process for multiple payer sources. Offers guidance to providers on the ordering of referrals as needed. Processes and ensures completion of referral orders to specialists. Work...
  • 6 Days Ago

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Referral Coordinator
  • Desert Oasis Healthcare
  • Palm Springs, CA FULL_TIME
  • Processes Prior Authorization-Referral requests that are received from PCPs and-or Specialty Providers, handles incoming telephone calls and, routinely interacts with physicians and their office staff...
  • 8 Days Ago

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0 Referral Specialist jobs found in Apple Valley, CA area

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Sales and Service Expert>
  • 24 Hour Fitness
  • Ontario, CA
  • 24 Hour Fitness - 2580 S Archibald Ave [Guest Service / Front Desk] As a Sales and Service Expert at 24 Hour Fitness, yo...
  • 4/16/2024 12:00:00 AM

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ITSM Specialist
  • Talentola
  • Rancho Cucamonga, CA
  • Position: ITSM Specialist Location: Rancho Cucamonga, CA (Onsite) Duration: Long Term Project open for FTE and FTC Who a...
  • 4/16/2024 12:00:00 AM

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Fatherhood Specialist
  • San Bernardino Fatherhood
  • San Bernardino, CA
  • Job Description Job Description Fatherhood Specialist Description: Primary Duties Provide case management to include int...
  • 4/16/2024 12:00:00 AM

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IT End User Services Specialist
  • CommonSpirit Health
  • San Bernardino, CA
  • **Overview** CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. Wi...
  • 4/15/2024 12:00:00 AM

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To Go Specialist>
  • Yard House
  • Rancho Cucamonga, CA
  • Yard House - 12473 N. Main Street [Restaurant Associate / Team Member] As a To Go Specialist at Yard House, you'll: Be a...
  • 4/15/2024 12:00:00 AM

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ITSM Specialist
  • TalentOla
  • Rancho Cucamonga, CA
  • Position: ITSM Specialist Location: Rancho Cucamonga, CA (Onsite) Duration: Long Term Project open for FTE and FTC Who a...
  • 4/14/2024 12:00:00 AM

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To Go Specialist
  • Red Lobster
  • San Bernardino, CA
  • "Job Overview Do you take pride in providing excellent meals and having fun at the same time? To Go Specialists will enh...
  • 4/14/2024 12:00:00 AM

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Curriculum and Instruction Specialist
  • Spectrum Center Schools and Programs
  • Jurupa Valley, CA
  • 🚩 Starting Salary: $75,000 Spectrum Center Schools and Programs, a growing, dynamic organization with a social mission ...
  • 11/28/2023 12:00:00 AM

Apple Valley is located at 34°31′N 117°13′W / 34.517°N 117.217°W / 34.517; -117.217 (34.5115, -117.2120). Apple Valley is located at the southern edge of the Mojave Desert. It is bordered by the cities of Victorville on the west and Hesperia on the southwest sides, with the Census-Designated Place of Lucerne Valley a distance to the east and the city of Barstow about 30 miles to the north. Apple Valley, along with Victorville, Hesperia, Adelanto and immediate surrounding areas, are commonly known as the Victor Valley. The primary thoroughfare through Apple Valley is State Route 18, which wa...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$42,519 to $52,200
Apple Valley, California area prices
were up 3.0% from a year ago

Referral Specialist in Terre Haute, IN
This position serves as the centralized intake for all internal referrals to core service programs.
December 12, 2019
Referral Specialist in Albany, NY
The Information and Referral Specialist 1 is the entry level classification which gathers information on community resources and utilizes a broad knowledge of the community resource network to make appropriate referrals to service providers.
December 01, 2019
Referral Specialist in Florence, AL
As a Referral Specialist you will execute patient insurance referrals, consultations, and diagnostic procedures relating to Kadlec Clinic.
January 14, 2020