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)
REFERRAL SPECIALIST in Admission and Assessments- Lanterman
Full Time, Non-Exempt
Salary Range - $18.13 to $29.10 hourly
The Organization
San Gabriel/Pomona Regional Center (SG/PRC) is a private, non-profit agency that is contracted with the State of California, Department of Developmental Services, to provide services to individuals with intellectual and developmental disabilities. SG/PRC has proudly served the San Gabriel and Pomona Valleys since 1986, serving 30 cities in its catchment area. We serve individuals across the lifespan from infants and toddlers, school age children, transition-age youth, adults, and aging adults.
The Position
Under the direction of the Admissions and Assessments Manager the Referral Specialist provides support to the Department with the following job responsibilities.
Essential Job Functions
· Responds and screens all referral calls
· Assists with walk in referrals
· Provides community and referral information for those who do not qualify for SG/PRC services
· Schedules Intake Assessments for the admissions and assessment process
· Handles phone calls and other requests regarding inactive and closed cases as well as cases currently going through the Admissions and Assessment process
· Inputs data from new referrals
· Completes reminder calls
· Schedules appointments with consultants for active clients and secures charts for upcoming scheduled appointments
· Monitors timelines
· Performs other duties as assigned
Employment Standards
A minimum of two years’ experience of related administrative support. Some college courses preferred.
Knowledge and Abilities
· Knowledge of individuals with developmental disabilities
· Demonstrate the ability to effectively communicate with public and staff
· Must be able to interact with others from a wide variety of cultural and social backgrounds
· Must be able to multi-task and set priorities
· Must be able to meet strict documentation timelines.
· Knowledge of word processing software (Microsoft Word) is required
Other Essential Requirements
Employees using a private vehicle for agency purposes must maintain a valid driver's license and minimum liability insurance coverage.
SG/PRC Offers an Excellent Benefits Package including:
· Participate in Tuition Reimbursement Program with up to $10,000 annual reimbursement.
· 9/80 Alternate Work Schedule
Professional Development Opportunities & Growth
SG/PRC values the professional development of staff! Many Services Coordinators and Administrative Staff gain experience and enter into Supervisor, Manager or Director positions.
Diversity, Equity, and Inclusion
At SG/PRC, we value and celebrate diversity! In September 2022, SG/PRC launched an initiative to enhance and strengthen our commitment to diversity and belonging.
Job Type: Full-time
Pay: $18.13 - $29.10 per hour
Benefits:
Weekly day range:
Experience:
Ability to Commute:
Ability to Relocate:
Work Location: Hybrid remote in Pomona, CA 91766
Clear All
0 Referral Specialist jobs found in Burbank, CA area