Referral Specialist jobs in Meridian, ID

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
  • Meridian, ID 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.

    Training is Monday-Friday 10a-6p EST.

    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 :

    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 : 2024-02-27

  • 28 Days Ago

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Cosmetic Merchandiser (2023-31313)
  • Apollo Retail Specialist
  • Boise, ID PART_TIME
  • As a cosmetic merchandiser, you’ll take on project-based work to ensure cosmetic products, graphics, and displays are visually appealing to attract and engage shoppers, build strong relationships with...
  • 21 Days Ago

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Telecommunications Tower Technician Green Hand
  • Larson Tower Specialist
  • Boise, ID FULL_TIME
  • Job Description Job Description Benefits : SIRA matching Bonus based on performance Company parties Competitive salary Dental insurance Employee discounts Health insurance Opportunity for advancement ...
  • 3 Days Ago

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Assistant Director of Assessment and Referral
  • Intermountain Hospital
  • Boise, ID FULL_TIME
  • Intermountain Hospital is looking for a dynamic Assistant Director of Assessment/Referral (Admissions) to assist the Director in the operations of the Assessment and Referral Department. This position...
  • 1 Month Ago

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Specialist
  • Precision Pumping Systems
  • Boise, ID FULL_TIME
  • Precision Pumping Systems has been a local and family own manufacturing business since 1972. To continue our growth, PPS is looking to increase our labor force to keep up with production demands from ...
  • 17 Days Ago

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Billing Specialist
  • Valor Health
  • Emmett, ID FULL_TIME
  • DescriptionPosition Title: Billing SpecialistDepartment: Business OfficeSupervisor’s Title: Revenue Cycle ManagerPosition Summary: Process primary and secondary claims electronically or paper format w...
  • 20 Days Ago

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0 Referral Specialist jobs found in Meridian, ID area

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Dental Cleanse Expert
  • Trailridge Family Dental
  • Parma, ID
  • Are you happy and fun? Are you a positive person? Do you value integrity and devotion? Do you enjoy creating value in ot...
  • 3/28/2024 12:00:00 AM

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HVAC Comfort Advisor- Sales Expert
  • Wickstrom Plumbing, Heating, Cooling
  • Nampa, ID
  • Wickstrom Plumbing Heating & Cooling is looking for an HVAC Salesman that is accountable and ready to learn. If you want...
  • 3/28/2024 12:00:00 AM

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Smashburger - Caldwell - Guest Service Expert
  • Smashburger - Caldwell
  • Nampa, ID
  • EOE. We participate in E-Verify / Participamos en E-Verify Our first Smashburger restaurant opened in 2007 with one sing...
  • 3/27/2024 12:00:00 AM

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Delivery Expert(07373) - 1103 South Washington
  • Domino's Franchise
  • Emmett, ID
  • Job Description Job Description Job Description Are you high performance and have a positive attitude? If so, we are loo...
  • 3/27/2024 12:00:00 AM

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Bilingual Customer Service Specialist (Spanish)
  • Sherwin-Williams
  • Meridian, ID
  • Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their que...
  • 3/25/2024 12:00:00 AM

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FT Member Services Specialist - Work From Home>
  • Transcarent
  • Nampa, ID
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $30 per hour / Medical, dental, and vision / 401k match / P...
  • 3/24/2024 12:00:00 AM

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Customer Support Specialist - Work From Home>
  • Zip
  • Nampa, ID
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $75K per year / Full health, vision & dental / Apple equipm...
  • 3/24/2024 12:00:00 AM

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PST Specialist
  • Labcorp
  • Meridian, ID
  • At Labcorp we have a passion in helping people live happy and healthy lives. Every day we provide vital information that...
  • 3/24/2024 12:00:00 AM

Meridian is a city located in Ada County in the U.S. state of Idaho. As of the 2010 census, the population of Meridian was 75,092 making it the third largest city in Idaho after Boise and Nampa. Meridian is considered the state's fastest-growing city and among the fastest-growing cities in the United States. A 2015 census estimate placed the population at approximately 90,739. With a 2018 non-census population estimate of 106,410 and a 1,000 percent increase in population since 1990, the city is currently estimated as the second largest in the state. Meridian is located at 43°36′51″N 116°23′56...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$37,278 to $45,858
Meridian, Idaho area prices
were up 2.5% 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