Referral Specialist jobs in Inglewood, 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. 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 specialist
  • Elevance Health
  • Downey, CA FULL_TIME
  • Job Description

    Crisis and Referral Specialist

    Location : Remote

    A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work / life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

    We are looking for candidates to work on the new Georgia Behavioral Health Help Line with experience in mental health / substance use crisis, assessment and referral.

    The Crisis and Referral Specialist willbe responsible for screening, assessing, training, and de-escalation for helpline using established protocols todetermine an immediate course of action.

    We operate 24 hours a day, 7 days a week, 365 days out of the year. This is a 24-hour call center, open 365 days, with varied 1st, 2nd, and 3rd shifts to include weekends.

    How you will make an impact :

    • For the GA Behavioral Health Helpline, takes texts and chats who may be in crisis. Performs safety screenings and assessments to discern presence and acuity of risk to the safety of the individual or others.
    • Uses information obtained during the screenings and assessments to accurately understand the individual's needs and develop a plan of action in collaboration with the individual.
    • Completes appropriate, timely, and accurate documentation of interactions in accordance with established criteria.
    • Provides linkage follow-up as directed to assure individual accessed services.
    • Coordinates with other agencies, organizations and individuals to insure optimal use of resources, services and natural support systems.

    Ensures compliance with all HIPAA, OSHA, and other federal, state, and local regulations.

    Requirements :

    Requires a HS diploma or the equivalent and a minimum of 1 year of experience in behavioral health or a minimum of 6 months of direct crisis experience to include screenings and assessments to determine appropriate interventions;

    or any combination of education and experience which would provide an equivalent background.

    Preferred Skills, Capabilities and Experience :

    BS / BA degree in a mental health or other human services field and two years of experience working directly with individuals in need of behavioral health services strongly preferred.

    Certain contracts require a BS / BA degree.

    For candidates working in person or remotely in the below locations, the salary* range for this specific position is $19.84 to $29.76

    Locations : California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

    In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

    The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.

    The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

    The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.

    This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.

    Even within the range, the actual compensation will vary depending on the above factors as well as market / business considerations.

    No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans.

    The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

    Job Level :

    Non-Management Non-Exempt

    Workshift : Job Family :

    Job Family : MED >

    MED >

    Healthcare Role (Non-Licensed)

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.

    Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.

    Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.

    Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19.

    If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

    Applicants who require accommodation to participate in the job application process may contact for assistance.

    Last updated : 2024-02-28

  • 25 Days Ago

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Referral Specialist
  • Robert Half
  • Los Angeles, CA OTHER
  • A large hospital system is in search of an experienced, efficient, and patient-oriented Referral Coordinator. This individual will play a key role in ensuring all referral procedures are processed acc...
  • 9 Days Ago

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Referral Specialist
  • TEKsystems
  • Burbank, CA FULL_TIME
  • Career Opportunity with a leading Healthcare Provider in Burbank, CA! Description: This person will be performing tasks such as coordinating referral appointments, sending referral forms to health rec...
  • 1 Month Ago

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ECMO Specialist PRN - Glendale, CA
  • SpecialtyCare Associate Referral Program
  • Glendale, CA FULL_TIME
  • Passionate, driven people dedicated to making a difference in healthcare. We are seeking a ECMO Specialist PRN - Variable Shift (Nights & Days) to join our SpecialtyCare team in Glendale, CA. Possibil...
  • 3 Days Ago

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Referral Triage Specialist
  • OneLegacy Brand
  • Azusa, CA FULL_TIME
  • OneLegacy, the non-profit organ and tissue recovery organization serving the seven counties of the greater Los Angeles area, has an immediate opening for a Full Time Referral Triage Specialist in the ...
  • 22 Days Ago

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Senior Referral Specialist
  • Astrana Health
  • Maywood, CA FULL_TIME
  • Job Title: Senior Referral Coordinator Department: Clinica Humanitaria About the Role: We are currently seeking a highly motivated Senior Referral Coordinator to assist with operations at Clinia Human...
  • 6 Days Ago

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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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Flight Test Engineer - Subject Matter Expert (SME) - Part-time
  • Modern Technology Solutions, Inc.
  • Santa Clarita, CA
  • Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking a Flight Test Engineer - Subject Matter Expert (SME...
  • 3/26/2024 12:00:00 AM

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Digital Engineering (DE) Subject Matter Expert (SME)
  • Modern Technology Solutions, Inc.
  • Lancaster, CA
  • Modern Technology Solutions, Inc. (MTSI) is seeking a Digital Engineering (DE) Subject Matter Expert (SME) to join our g...
  • 3/25/2024 12:00:00 AM

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Digital Engineering (DE) Subject Matter Expert (SME)
  • Modern Technology Solutions, Inc.
  • Pacoima, CA
  • Modern Technology Solutions, Inc. (MTSI) is seeking a Digital Engineering (DE) Subject Matter Expert (SME) to join our g...
  • 3/25/2024 12:00:00 AM

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Digital Engineering (DE) Subject Matter Expert (SME)
  • Modern Technology Solutions, Inc.
  • La Canada Flintridge, CA
  • Modern Technology Solutions, Inc. (MTSI) is seeking a Digital Engineering (DE) Subject Matter Expert (SME) to join our g...
  • 3/25/2024 12:00:00 AM

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Flight Test Engineer - Subject Matter Expert (SME) - Part-time
  • Modern Technology Solutions, Inc.
  • Lancaster, CA
  • Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking a Flight Test Engineer - Subject Matter Expert (SME...
  • 3/25/2024 12:00:00 AM

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Flight Test Engineer - Subject Matter Expert (SME) - Part-time
  • Modern Technology Solutions, Inc.
  • Pacoima, CA
  • Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking a Flight Test Engineer - Subject Matter Expert (SME...
  • 3/25/2024 12:00:00 AM

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Flight Test Engineer - Subject Matter Expert (SME) - Part-time
  • Modern Technology Solutions, Inc.
  • Sunland, CA
  • Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking a Flight Test Engineer - Subject Matter Expert (SME...
  • 3/25/2024 12:00:00 AM

Inglewood is a city in southwestern Los Angeles County, California in the Los Angeles metropolitan area. As of the 2010 U.S. Census, the city had a population of 109,673. It was incorporated on February 14, 1908. The city is in the South Bay region of Los Angeles County. Los Angeles Stadium at Hollywood Park is currently under construction in the city and, when completed around 2020, will be the new home of both the National Football League's Los Angeles Rams and Los Angeles Chargers. The city is also close to Los Angeles International Airport....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$44,989 to $55,344
Inglewood, California area prices
were up 3.2% 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