Referral Specialist jobs in Missouri
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
Referral Specialist
- Rockhill Orthopaedic, PC
-
Summit, MO
FULL_TIME
-
Rockhill Orthopaedic Specialists has been a pillar of musculoskeletal care in the Kansas City region for over 70 years, with an impressive tradition and commitment to not only providing exceptional healthcare services to our patients, but also an overall dedication to the well being of our community.Position Summary – This specialist completes referral forms and assists in scheduling appointments based on patient insurance requirements. This role works with multiple referring offices to obtain and document pre-certifications for imaging studies for multiple outpatient facilities. Interact with radiology technologist to assist in verifying orders, scheduling, and assisting with patient flow.Essential Duties and Responsibilities – The essential functions include, but are not limited to the following:
- Check eligibility, obtain insurance authorizations and referrals prior to patient appointment
- Interpret eligibility/verification documents regarding patient benefits
- Obtain authorizations for CT, MRI, and physical therapy orders
- Obtain authorization, benefits and schedule injections
- Obtain authorization and benefits for DME’s
- Authorize and schedule STAT appointments
- Send therapy orders to requested facility
- Send referral and records to specialty physicians
- Follow up on CT and MRI appointments
- Work with clinic to obtain authorization by doing peer to peer
- Communicate verifications for coordinating authorization of scheduled tests or injections
Specifications/Qualifications (Knowledge, Skills, Abilities) – Must enjoy interacting with people, be able to relate well to a variety of personalities and have good verbal communication skills. Have a cheerful disposition with a calming affect when interacting on the telephone. A self-motivated individual who can work well with interruptions, understands the need to be precise with information-gathering tasks and is able to convey instructions effectively. Enjoys working with a team.Typical Physical Demands – The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Must be able to use a variety of office equipment including copiers, printers, and fax machines.Work Environment – Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. Ability to sit for prolonged periods of time and type on keyboard. Ability to adapt to rapidly changing environments while meeting our customer’s demands and deadlines.Work Hours –This is an hourly full-time position, Monday through Friday, 40 hours per week; hours may vary.Education – High School diploma or equivalent required.Work Experience – Understanding of medical software, such as Epic, strongly preferred. Customer service experience required. Prior experience in a healthcare environment preferred.Expectations and Responsibilities of All Employees:- Philosophy
- Supports the facility’s ideology, mission, goals, and objectives
- Performs in accordance with the facility’s policies and procedures
- Follows the facility’s standards for ethical business conduct
- Conducts self as a positive role model and team member
- Recognizes patients’ rights and responsibilities and supports them in performance of job duties
- Respects patients’ rights to privacy, dignity, and confidentiality
- Actively participates in facility committees, meetings, in-services, and activities.
- Demonstrates flexibility to perform other duties as assigned
2. Communication- Communicates effectively and professionally with patients, visitors, physicians, and coworkers
- Interacts with others in a positive, respectful, and considerate manner
3. Financial Practices- Uses facility resources appropriately and avoids wasteful practices
- Maintains operations by following policies and procedures; reporting needed changes and wasteful practices
- Analyzes work area and makes recommendations for potential cost-effective improvements
4. Compliance Program- Contributes to the progress and development of the organization’s adopted compliance program
- Ensures compliance with private payor, workers compensation and government regulations
- Ensures compliance of the clinic with State and Federal regulations such as HIPAA, OSHA regulations
- Ensures that records are stored securely and handled in compliance with HIPAA privacy and security regulations, as applicable
5. Safety/Risk-Management Program- Adheres to safety policies and procedures in performing job duties and responsibilities
- Maintains responsibility for safe work area by reporting to safety officer or designee observed or suspected safety violations, hazards, and policy/procedure noncompliance
- Responds to emergency situations with competence and composure
- Reports observed or suspected medical emergencies, notifies appropriate personnel, and responds appropriately
- Identifies facility emergency situations (e.g., fire, disaster) and notifies appropriate personnel and external agencies
6. Professional Competence- Participates in continuing education and other learning experiences
- Shares knowledge gained in continuing education with staff
- Maintains membership in relevant professional organizations and/or maintains certification with relevant certifying body
- Seeks new learning experiences by accepting challenging opportunities and responsibilities
- Welcomes suggestions and recommendations
Note: The job duties listed in this job description may not be inclusive of all requirements of this position. The above statements are not to be construed as an exhaustive list of all responsibilities, skills or duties, requirements, efforts, or working conditions associated with the job. While this is intended to be accurate reflections of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (i.e. emergencies, changes in personnel, workload, rush jobs, or technological developments). This document does not create an employment contract and employment is “at-will”. - 7 Days Ago
Referral Specialist
- Rockhill Orthopaedic, PC
-
Summit, MO
FULL_TIME
- Rockhill Orthopaedic Specialists has been a pillar of musculoskeletal care in the Kansas City region for over 70 years, with an impressive tradition and commitment to not only providing exceptional he...
- 7 Days Ago
Assessment and Referral Call Specialist (PRN)
- Perimeter Healthcare
-
Springfield, MO
FULL_TIME
- Perimeter Behavioral of Springfield is one of the premier behavioral health hospitals providing inpatient psychiatric treatment for children and teenagers. Comprehensive care is designed for the indiv...
- 1 Day Ago
Assessment and Referral Call Specialist (PRN)
- Perimeter Healthcare
-
Springfield, MO
PART_TIME
- Perimeter Behavioral of Springfield is one of the premier behavioral health hospitals providing inpatient psychiatric treatment for children and teenagers. Comprehensive care is designed for the indiv...
- 7 Days Ago
Assessment and Referral Call Specialist (PRN)
- Perimeter Healthcare
-
Springfield, MO
PART_TIME
- Perimeter Behavioral of Springfield is one of the premier behavioral health hospitals providing inpatient psychiatric treatment for children and teenagers. Comprehensive care is designed for the indiv...
- 7 Days Ago
PIV Operator, (Power Industrial Vehicle)-1st Shift
- Career and Referral
-
Premier, MO
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...
- 19 Days Ago
Referral Specialist jobs at Popular Companies
Referral Specialist
- The South Bend Clinic
-
South Bend, IN
- Overview: Department: Business Office Location: University Commons Campus; 6301 University Commons, South Bend, IN 46635...
- 4/26/2024 12:00:00 AM
Referral Specialist
- Universal Health Services
-
Las Vegas, NV
- Responsibilities ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE Las Vegas is known internationally as a major resort city often ...
- 4/26/2024 12:00:00 AM
Referral Specialist
- Matthew Walker Comprehensive Health Center
-
Nashville, TN
- Job Description Job Description Matthew Walker Comprehensive Health Center has an exciting opportunity available for a s...
- 4/26/2024 12:00:00 AM
Referral Specialist
- Elevance Health
-
Columbus, GA
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
- 4/25/2024 12:00:00 AM
Referral Specialist
- Elevance Health
-
Hollywood, FL
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
- 4/25/2024 12:00:00 AM
Referral Specialist
- Elevance Health
-
Fort Lauderdale, FL
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
- 4/25/2024 12:00:00 AM
Referral Specialist
- Elevance Health
-
Clearwater, FL
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
- 4/25/2024 12:00:00 AM
Referral Specialist
- State Farm
-
Schertz, TX
- Job Description Job Description Outbound calling generating leads/appointments/sales by phone. 4-hour shift Monday-Frida...
- 4/23/2024 12:00:00 AM
About Missouri
Missouri is landlocked and borders eight different states as does its neighbor, Tennessee. No state in the U.S. touches more than eight. Missouri is bounded by Iowa on the north; by Illinois, Kentucky, and Tennessee across the Mississippi River on the east; on the south by Arkansas; and by Oklahoma, Kansas, and Nebraska (the last across the Missouri River) on the west. Whereas the northern and southern boundaries are straight lines, the Missouri Bootheel protrudes southerly into Arkansas. The two largest rivers are the Mississippi (which defines the eastern boundary of the state) and the Misso...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$38,518 to $47,288
Most Popular Cities in Missouri for Referral Specialist Jobs
What does a Referral Specialist do?
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