Referral Specialist jobs in San Bernardino, 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 Intake Specialist-ORC
  • Loma Linda University Health
  • Loma Linda, CA FULL_TIME
  • Job Summary: The Referral Intake Specialist-ORC reviews and analyzes patient referrals for preauthorization, concurrent review and case management for outpatient and inpatient service areas. Obtains benefits and eligibility as well as authorizations or pre-certifications as required, schedules patient appointments as authorized. Educates and informs staff, physicians and the community about services offered. Maintains a working relationship with internal and external referral sources by traveling and completing a daily distribution/pick up run to providers. Allows Rehabilitation Services to stay in consistent communication with the referring specialties and providing necessary updates. This position serves all areas of Rehabilitation Services. Performs other duties as needed.

    Education and Experience: High School Diploma or GED required. Minimum one year of call center experience in a customer service, sales environment, or clinical experience required. Minimum three years of experience in healthcare customer service call center preferred.

    Knowledge and Skills: Able to demonstrate excellent customer service and good communication skills, with emphasis on telephone etiquette. Able to keyboard 30 wpm. Able to read; write legibly; speak in English (and Spanish preferred) with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook). Operate/troubleshoot basic office and patient care equipment required for the position; perform required patient care activities related to the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

    Licensures and Certifications: None.




    Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.
    Loma Linda University and Health System is an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Talent Acquisition at 909-651-4001 or 909-558-4006 (TTY).

     

  • 3 Days Ago

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Referral Coordinator
  • Desert Oasis Healthcare
  • Palm Springs, CA FULL_TIME
  • Processes Prior Authorization-Referral requests that are received from PCPs and-or Specialty Providers, handles incoming telephone calls and, routinely interacts with physicians and their office staff...
  • 21 Days Ago

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Referral Coordinator
  • California Practice Staff
  • Palm Springs, CA OTHER
  • Desert Care Network- Orthopedic Associates Summary: A non-exempt medical office position responsible for all referrals for the medical offices in the market Essential Job Responsibilities: Process pat...
  • Just Posted

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Referral Clerk
  • AAI
  • Twentynine Palms, CA FULL_TIME
  • REFERRAL CLERK Twenty-Nine Palms AAI is actively looking for a referral Clerk. This position provides clerical/administrative support in the Referral Management Center for customer service, referral t...
  • 5 Days Ago

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In Home Caregiver
  • Caring Companions Referral Agency
  • San Bernardino, CA FULL_TIME,CONTRACTOR,PART_TIME
  • Caring Companions Referral Agency has been representing independent care providers that are experienced and willing to work for themselves for over 22 years! You make your own schedule and negotiate y...
  • 2 Months Ago

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Referral Distributor Technician II
  • Desert Oasis Healthcare
  • Palm Springs, CA FULL_TIME
  • Assists in the appropriate distribution and maintenance of all referrals based on level of urgency. Responsible for the batching of all files as assigned and maintaining department referral files elec...
  • 22 Days Ago

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0 Referral Specialist jobs found in San Bernardino, CA area

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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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Account Payable Specialist- General Contractor
  • Premier Developing Services Inc
  • Brea, CA
  • Job Description Job Description Previous experience in the Construction Field is a must. Job Description Summary The Acc...
  • 3/26/2024 12:00:00 AM

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Sales and Service Expert
  • 24 Hour Fitness, INC.
  • Moreno Valley, CA
  • **FULL-TIME** Part-time **LOCATION** 12660 Day Street Moreno Valley CA 92553 **Sales and Service Expert** **?** **Who we...
  • 3/26/2024 12:00:00 AM

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Sales and Service Expert>
  • 24 Hour Fitness
  • Upland, CA
  • 24 Hour Fitness - 685 W Foothill Blvd [Guest Service / Front Desk] As a Sales and Service Expert at 24 Hour Fitness, you...
  • 3/26/2024 12:00:00 AM

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Digital Engineering (DE) Subject Matter Expert (SME)
  • Modern Technology Solutions, Inc.
  • Pinon Hills, 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.
  • Valyermo, 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.
  • Valyermo, 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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FT Member Services Specialist - Work From Home>
  • Transcarent
  • Colton, CA
  • [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

According to the United States Census Bureau, the city has a total area of 59.6 square miles (154 km2), of which 59.2 square miles (153 km2) is land and 0.4 square miles (1.0 km2), or 0.74%, is water. The city lies in the San Bernardino foothills and the eastern portion of the San Bernardino Valley, roughly 60 miles (97 km) east of Los Angeles. Some major geographical features of the city include the San Bernardino Mountains and the San Bernardino National Forest, in which the city's northernmost neighborhood, Arrowhead Springs, is located; the Cajon Pass adjacent to the northwest border; City...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$42,690 to $52,516
San Bernardino, California area prices
were up 3.0% 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