Referral Specialist jobs in San Diego, 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 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
Administrative Referral Specialist (FT)
- Royalty Staffing
-
Chula Vista, CA
FULL_TIME
-
Hiring Now! Join our team as an Administrative Referral Specialist.
This is a great temp to hire opportunity to connect with an expansive and established company.
Position Summary: Responsible for timely processing, documenting, scheduling, and follow-up of referrals and request for treatment authorizations as requested by the primary physician.
Essential Functions of the Job:- Receives and processes authorizations on timely manner with the at most attention to quality, accuracy and completeness of work. Plans in advance to ensure task are complete and seeks to add value to every work assignment. Schedules requests for referrals and treatment authorizations.
- Demonstrates skills and knowledge to obtain authorizations from various insurance carriers via phone, in writing or electronic media, adjusting effectively to organizational changes maintaining high standards.
- Follows-up on missing documentation to obtain authorization when appropriate; schedules appointment for specialty care, special studies, Durable Medical Equipment (DME) or other ancillary services as requested by the primary care physician.
- Coordinates care within the guidelines of multiple health plans, contracts or insurance types. Uses various modules of the computer system to obtain information, schedule appointments, query information and obtain authorizations.
- Responds to inquiries as to current status of authorization by assessing the request and evaluating the circumstances to provide regular, consistent, timely, and meaningful information to our patients. Demonstrates professionalism verbally and non-verbally, tailors communication styles to the need of the recipient.
- Listens to customers (internal and external) and addresses needs; accountable and responsive to customers concerns. Seeks different points of view and leverages diverse perspectives. Meets established or agreed upon deadlines.
- Arrives on time and prepared for work; uses sound judgement to meet and exceed workplace expectations; assumes responsibility and accountability for decisions, actions, and performance.
- Work on closing the referrals loop; review the referral log weekly to determine which patients have kept their specialty or consultation appointments.
- Work on closing the referrals loop; review the referral log weekly to determine which patients have kept their specialty or consultation appointments.
- Update the referral with date and time of the appointment. Document if patient kept their appointment, reach out to Specialist or Facility to request visit notes or results to be faxed to Referrals main fax number within 5 working days of visit.
Minimum Job Requirements:- High school diploma or GED equivalent.
- Current valid California driver’s license, car insurance and or proof of reliable transportation.
- A minimum of 1 year experience in healthcare setting to include front with back office or referral authorization knowledge of programs and health plans eligibility and guidelines, coding and data processing or Medical Assistant Certificate.
- Bilingual (Spanish/English/ Arabic). Good verbal and written communication skills in both languages.
Preferred Job Requirements:- 2 years in healthcare setting.
- Just Posted
Administrative Referral Specialist #1186
- Royalty Staffing
-
Chula Vista, CA
FULL_TIME
- Apply now to join our team as a Referrals Specialist!Position Summary: Responsible for timely processing, documenting, scheduling and follow up of referrals and request for treatment authorizations as...
- 1 Day Ago
Information and Referral Specialist I
- St. Vincent De Paul Village
-
San Diego, CA
FULL_TIME
- Job DetailsJob TitleInformation and Referral SpecialistReports ToSupervisor of Guest ServicesSalary GradeN4FLSA StatusNon-ExemptEffective DateJune 2024 SummaryThe Information and Referral Specialist i...
- 4 Days Ago
Administrative Referral Specialist #1214 (FT)
- Royalty Staffing
-
Vista, CA
FULL_TIME
- Apply now to join our team as a Referrals Specialist!Position Summary: Responsible for timely processing, documenting, scheduling, and follow-up of referrals and request for treatment authorizations a...
- 19 Days Ago
Information and Referral Specialist I DCLWO - Part Time Weekends
- St. Vincent De Paul Village
-
San Diego, CA
PART_TIME
- Job Title: Information and Referral Specialist I - DCLWOReports To: Supervisor of Guest Services/Day Center Effective : July 1, 2018 Part-Time: 20hrsSummaryDo you want to work for a company where your...
- 1 Month Ago
Automations & Controls Engineer-Specialist
- Specialist - Tetra Tech Careers
-
San Diego, CA
FULL_TIME
- Discover your full potential. At Tetra Tech, we collaborate with industry-leading experts for a sustainable future for our world. We combine consulting and engineering with advanced analytics and tech...
- 8 Days Ago
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0 Referral Specialist jobs found in San Diego, CA area
Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
- Confidential
-
San Diego, CA
- Job Summary: We are actively searching for a Subject Matter Expert (SME) with a comprehensive background in health admin...
- 4/15/2024 12:00:00 AM
Vrbo Side Hustle Expert
- Fud Inc.
-
San Diego, CA
- Fud, the world's first social hustling community, is seeking a Vrbo Side Hustle Expert to join our community from the Le...
- 4/15/2024 12:00:00 AM
Freelancing Expert - Graphic Designer
- Fud
-
San Diego, CA
- Fud, the "World's First Social Hustling Community" is seeking a Freelancing Expert - Graphic Designer to join our team. ...
- 4/15/2024 12:00:00 AM
BIM SPECIALIST
- THE HILL PARTNERSHIP INC
-
San Diego, CA
- Job Description Job Description About Us At HPI, we are committed to creating long-term career opportunities in a stimul...
- 4/15/2024 12:00:00 AM
Vrbo Side Hustle Expert
- Fud, Inc.
-
San Diego, CA
- Fud, the world's first social hustling community, is seeking a Vrbo Side Hustle Expert to join our community from the Le...
- 4/13/2024 12:00:00 AM
Guest Service Expert>
- Smashburger
-
San Diego, CA
- Smashburger - 4575 La Jolla Village Drive [Food Service / Crew Member / Team Member] As a Guest Service Expert at Smashb...
- 4/13/2024 12:00:00 AM
Jama Connect Expert Requirement Management Tool Contractor
- Pride Now
-
San Diego, CA
- Job Description Job Description Jama Connect Admin/lead Pays - $50- $54/hr W2 (depends upon experience) REMOTE 12 Months...
- 4/13/2024 12:00:00 AM
Senior Quality Specialist
- Flatiron Construction Corp
-
San Diego, CA
- Great opportunity to join our team in reconstructing the San Diego International Airport - Terminal 1, in San Diego, CA....
- 4/12/2024 12:00:00 AM
About San Diego, California
According to SDSU professor emeritus Monte Marshall, San Diego Bay is "the surface expression of a north-south-trending, nested graben". The Rose Canyon and Point Loma fault zones are part of the San Andreas Fault system. About 40 miles (64 km) east of the bay are the Laguna Mountains in the Peninsular Ranges, which are part of the backbone of the American continents.
The city lies on approximately 200 deep canyons and hills separating its mesas, creating small pockets of natural open space scattered throughout the city and giving it a hilly geography. Traditionally, San Diegans have built the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$43,409 to $53,292
San Diego, California area prices
were up 2.6% from a year ago
were up 2.6% 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