Referral Specialist jobs in Germantown, TN
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)
Recently Added Referral Specialist jobs
Patient Access Referral Specialist I
- Regional One Health
-
Memphis, TN
FULL_TIME
-
A Brief Overview
The Outpatient Patient Access Referral Specialist coordinates all patient referrals made by Providers to appropriate specialties or for diagnostic services. Obtains and documents in patient records, receipt of certification and authorization from Third Party reimbursement companies (MCOs, HMOs, PPOs). Ensures providers have test results available in a timely manner. Completes follow-up referrals.
What you will do- Collaborates with providers regarding patient diagnosis and need for referral.
- Obtains all relevant patient information needed to make referral and obtains pre certification and/or authorization from appropriate MCOs/insurance agency.
- Ensures proper ICD or CPT coding is completed on Referral Form. Ensures completeness of referral documentation form by provider.
- Investigates appointment schedules and coordinates with patients regarding their availability and scheduling needs and in accordance with available appointment openings at specialties. Ensures appointment schedules are coordinated within established guidelines set by contracting agencies. Patient Appointment Reminder System.
- Arranges for patient transportation prior to appointment.
- Contacts Third Party Reimbursement/Certification Departments to obtain authorization for referral. Documents all communication on Referral/Certification Form and enters data into computerized referrals program.
- Ensures completeness of all patient data/demographic information. Forwards necessary documentation to referring physician/diagnostic service.
- Ensures that reports from consulting physicians, discharge summaries, diagnostic reports, etc. are received, reviewed and signed within two (2) weeks following appointment and filed appropriately.
- Pending reports/results are followed up with referring agency and/or patient as appropriate. No show or rescheduled appointments are reported to the provider and documented in the patient’s chart on the referral form, along with the date of entry and the initials of the referral clerk.
- Collaborates with the Community Outreach Coordinator regarding patient care follow-up and satisfaction level as it relates to referral.
Qualifications- High School Graduate or equivalent with related course work. Required
- At least 1 year experience Twelve (12) months clerical or completion of a clerical training program Required and
- Experience in authorizing referrals Preferred
Physical Demands- Standing - Occasionally
- Walking - Occasionally
- Sitting - Constantly
- Lifting - Rarely
- Carrying - Rarely
- Pushing - Rarely
- Pulling - Rarely
- Climbing - Rarely
- Balancing - Rarely
- Stooping - Rarely
- Kneeling - Rarely
- Crouching - Rarely
- Crawling - Rarely
- Reaching - Rarely
- Handling - Occasionally
- Grasping - Occasionally
- Feeling - Rarely
- Talking - Constantly
- Hearing - Constantly
- Repetitive Motions - Frequently
- Eye/Hand/Foot Coordination - Frequently
Regional One Health is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. - 18 Days Ago
PRN Assessment and Referral Specialist- Weekend Only
- Default Brand
-
West Memphis, AR
PART_TIME
- Job Title: Assessment & Referral Specialist Reports To: Director of Assessment & Referral Positions Supervised: None FLSA Status: Exempt JOB SUMMARY: The Assessment & Referral Specialist is responsibl...
- 26 Days Ago
Journeyman HVAC Service Technician - Memphis, TN
- Career and Referral
-
Memphis, TN
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...
- 10 Days Ago
Referral Coordinator
- Semmes Murphey Clinic
-
Memphis, TN
FULL_TIME
- DescriptionThe Referral Coordinator will answer and respond to calls coming into the Clinic on the appointment line and manage referrals from patients and doctors/referring offices. This includes coor...
- 1 Day Ago
Referral coordinator
- West Tennessee Healthcare
-
Jackson, TN
FULL_TIME
- Job Description Summary Responsible for assisting WTMG clinics as assigned with tracking all internal and external referrals, outreaching to other service providers and patients to get proper release ...
- 2 Days Ago
Referral Coordinator
- Crossroads Hospice & Palliative Care
-
Memphis, TN
FULL_TIME
- Life is better with compassion!Patients and families near the end of life should have a caregiver committed to the art, science, and skill of delivering compassion.Death is a meaningful experience for...
- 1 Month Ago
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0 Referral Specialist jobs found in Germantown, TN area
Subject Matter Expert IRS Special Enrollment Examination
- Prometric
-
Memphis, TN
- Job Description Job Description Prometric, a global provider of technology-enabled testing and assessment solutions, has...
- 4/25/2024 12:00:00 AM
Customer Service Specialist
- Memphis Communications Corporation
-
Memphis, TN
- Job Description Job Description Are you looking for an opportunity to serve and get more than just a paycheck in return?...
- 4/24/2024 12:00:00 AM
Driver Support Specialist
- Swift Transportation Company
-
Memphis, TN
- **Description** *Position at Swift Transportation* **Accelerate your Career!** At Swift, our greatest asset is OUR PEOPL...
- 4/24/2024 12:00:00 AM
Sales Specialist - Ecommerce
- Inventory Locator Service,® LLC
-
Memphis, TN
- Overview CAMP Systems is the leading provider of aircraft compliance and health management services to the global busine...
- 4/24/2024 12:00:00 AM
SAP Data Migration specialist
- Hexaware Technologies
-
Memphis, TN
- What Working at Hexaware offers: Hexaware is a dynamic and innovative IT organization committed to delivering cutting-ed...
- 4/24/2024 12:00:00 AM
Building Systems Commissioning Specialist
- Johnson Controls International
-
Memphis, TN
- What you will do As a member of the Sustainability Infrastructure Services (SIS) Team, the Commissioning Specialist will...
- 4/23/2024 12:00:00 AM
Patient Access Referral Specialist I
- Regional One Health
-
Memphis, TN
- Summary: The Outpatient Patient Access Referral Specialist coordinates all patient referrals made by Providers to approp...
- 4/23/2024 12:00:00 AM
SAP Data Migration specialist
- Hexaware Technologies
-
Memphis, TN
- What Working at Hexaware offers: Hexaware is a dynamic and innovative IT organization committed to delivering cutting-ed...
- 4/22/2024 12:00:00 AM
About Germantown, Tennessee
Germantown is a city in Shelby County, Tennessee, United States. The population was 38,844 at the 2010 census.
Germantown is a suburb of Memphis, bordering it to the east-southeast. Germantown's economy is dominated by the retail and commercial service sectors; there is no heavy industry in Germantown. In the city center is the "Old Germantown" neighborhood, anchored by a railroad depot (a 1948 reproduction of the 1868 original) and railroad tracks that recall the community's earliest days of development as an outpost along the Memphis and Charleston Railroad.
The city hosts many horse shows a...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$37,750 to $46,345
Germantown, Tennessee area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Referral Specialist do?
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