Referral Specialist jobs in Sterling Heights, MI

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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Information Referral Specialist
  • Wayne Metropolitan Community Action Agency
  • Detroit, MI FULL_TIME
  • Job Title:                          Information and Referral Specialist

    FLSA:                                Non-Exempt

    Grade:                              2

    Reporting to:                    Information and Referral Manager

    Department:                    Information Management

    Scope:

    An Information & Referral Specialist provides information, referral, and assessment over the telephone by email or online in the Wayne Metro CONNECT Call Center.  Responsibilities include conducting preliminary need and eligibility assessments, gathering information for program intake activities and scheduling appointments for clients with Wayne Metro staff.

    Essential Functions

    ·         Receive incoming calls to assess a client’s need and recommend the most appropriate initial course of action given the caller’s needs and the available resources within Wayne Metro and/or the community.

    ·         Maintain consistently high standards of customer service while maintaining confidentiality.

    ·         Provide information to clients of available programs/services and make appropriate referrals.

    ·         Schedule client appointments with the appropriate department based on Wayne Metro’s established pre-screening guidelines and determination criteria.

    ·         Accurately document all client interactions using web-based computer software systems. 

    ·         Inform clients by explaining procedures, answering questions, and providing information.

    ·         Maintain communication equipment by troubleshooting and reporting problems.

    ·         Develop and maintain comprehensive resource files of information on organizations that provide human services in the community.

    ·         Stay informed on social issues, programs, and changes in services at Wayne Metro and in the Wayne County area.

    ·         Maintains and improves quality results by adhering to standards and guidelines; recommending improved procedures.

    ·         Maintain accurate records for the purpose of deriving statistics and compiling program reports.

    ·         Meet quality assurance requirements and other key performance metrics.

    ·         Utilize various systems and tools to assist and service clients. 

    ·         Work in a call center environment on a computer with a headset for extended periods of time.

    ·         Attend staff meetings, conferences and workshops in order to upgrade professional skills.

    ·         Work effectively in team atmosphere while achieving program quality assurance goals.

    ·         Maintain a positive attitude towards assigned work, clients, and staff, and a willingness to work with others.

    ·         Perform work in a professional manner that upholds Wayne Metro’s policies and procedures.

    ·         Other duties as assigned.

    Physical Requirements and Work Environment

    Clerical: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This job operates in a professional office/call center environment with a moderate noise level. This is largely a sedentary role and the employee must occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to sit, frequently use hands and to talk or hear.

    Minimum Qualifications:

    ·         Bachelor’s degree in Human Services or related major OR a combination of education and experience that is similarly equivalent.

    ·         Minimum of four years of experience in Human Services

    ·         Accredited Information Referral Specialist Certification (CIRS) is a plus.

    ·         Ability to type at least 35 w.p.m.

    ·         Call center experience with expertise in telephone etiquette is essential.

    ·         Demonstrated knowledge of customer service principles and practices.

    ·         Demonstrated evidence of interviewing, assessment and problem solving skills.

    ·         Ability to effectively communicate via phone, gather and record data using various computer programs. 

    Minimum Competencies:

    ·         Working knowledge of basic internet applications and programs including Google technology and Microsoft Office Word and Excel. The ability to learn and utilize the necessary programs for this position.

    ·         Ability to communicate effectively both orally and in written form.

    ·         Excellent interpersonal and professional skills including but not limited to professional appearance, tact, punctuality, and dependability.

    ·         Excellent customer service skills with the ability to work with internal and external customers in a friendly, cooperative, and professional manner.  

    ·         Excellent listening skills and the ability to ask probing questions, understand concerns, and overcome objections.

    ·         Ability to learn and navigate new software quickly.

    ·         Ability to work well under pressure and/or against opposition and to handle conflict in a professional manner.

    ·         Strong organizational and time-management skills.

    ·         Must be flexible, reliable and have the ability to work autonomously, as well as in a supportive/team based environment.

    ·         Effective problem solver and decision maker.

    ·         Ability to provide services for those persons facing economic, social, health, age, and educational barriers.

    ·         Ability to work a flexible schedule.

    ·         Perform work in a manner that upholds Wayne Metro policies and procedures. 

    Licensing and Other Requirements:

    • Valid identification and reliable transportation.
    • Although the Covid-19 vaccination is no longer mandated, it is encouraged. Wayne Metro will always prioritize the safety of our staff and clients.

    Must be COVID-19 vaccinated, or partially, with the ability to complete within 30-days of employment. Circumstances preventing vaccination, and corresponding accommodations will be reviewed and considered

    Travel Requirements:

    ·         Limited/as-needed.

    Work Hours: 

    ˙         Work to be scheduled Monday through Friday with specific hours to be determined by department needs.

    Other Duties

    Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  Duties, responsibilities and activities may change at any time with or without notice.

    To support our company’s mission, here is a snapshot of benefits we offer

    ·        Employee premium coverage for Medical, Vision, Dental

    ·        401k Match                                            

    ·        Life Insurance

    ·        Paid Holidays

    ·        Paid Leave Days

    ·        Educational Benefits

    ·        Student Loan Paydown assistance

    ·        Paid Parental Leave

    ·        Fitness Reimbursement 

     How To Apply:

    If you are interested in this position and you meet the minimum requirements, please visit  http://www.waynemetro.org/careers to submit an online application, cover letter and resume.

     

    Wayne Metropolitan Community Action Agency is an Equal Opportunity Employer.

    EOE/M/F/D/V

  • 18 Days Ago

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Information Referral Specialist
  • Wayne Metro CAA
  • Detroit, MI OTHER
  • Job Title: Information and Referral Specialist FLSA: Non-Exempt Grade: 2 Reporting to: Information and Referral Manager Department: Information Management Scope: An Information & Referral Specialist p...
  • 20 Days Ago

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Information Referral Specialist
  • WAYNE-METROPOLITAN COMMUNITY ACTION AGENCY
  • Highland, MI OTHER
  • Job Details Job Location: Cortland - Highland Park, MI Salary Range: Undisclosed DescriptionScope: An Information & Referral Specialist provides information, referral, and assessment over the telephon...
  • 5 Days Ago

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Information Referral Specialist
  • Wayne-metropolitan Community Action Agency
  • Wyandotte, MI FULL_TIME
  • Scope: An Information & Referral Specialist provides information, referral, and assessment over the telephone by email or online in the Wayne Metro CONNECT Call Center. Responsibilities include conduc...
  • 12 Days Ago

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Triage/Prior auth-referral specialist
  • Dr Colleen Kennedy
  • Rochester, MI FULL_TIME
  • Busy family practice looking for Referral/Authorization specialist with the main focuse to obtain prior authorizations for medication, diagnostic testing, and handling medical records. Responsibilitie...
  • 16 Days Ago

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Services Account Manager
  • Career and Referral
  • Livonia, MI 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...
  • 1 Month Ago

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0 Referral Specialist jobs found in Sterling Heights, MI area

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Subject Matter Expert/Proposal Writer
  • Donatech Corporation
  • Troy, MI
  • Position would require the candidate to be a W2 employee of Donatech. US Citizenship Required. This position is responsi...
  • 3/28/2024 12:00:00 AM

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Test Specialist Consultant/Expert
  • V2Soft Inc.
  • Dearborn, MI
  • V2Soft (www.v2soft.com) is a global company, headquartered out of Bloomfield Hills, Michigan, with locations in Mexico, ...
  • 3/28/2024 12:00:00 AM

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Subject Matter Expert IRS Special Enrollment Examination
  • Prometric
  • Detroit, MI
  • Job Description Job Description Prometric, a global provider of technology-enabled testing and assessment solutions, has...
  • 3/27/2024 12:00:00 AM

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Architect Consultant/Expert
  • HonorVet Technologies
  • Allen Park, MI
  • Position: Architect Consultant/Expert Location: Allen Park,MI 48101 Duration: 12 Months Position Description: Develop te...
  • 3/25/2024 12:00:00 AM

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Sleep Expert - Sales
  • Mattress Firm
  • Wixom, MI
  • Is your current job a nightmare? Make it a dream job at Mattress Firm! Join Mattress Firm as a Sleep Expert and have the...
  • 3/25/2024 12:00:00 AM

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Sleep Expert - Sales
  • Mattress Firm
  • Highland, MI
  • Is your current job a nightmare? Make it a dream job at Mattress Firm! Join Mattress Firm as a Sleep Expert and have the...
  • 3/25/2024 12:00:00 AM

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Sleep Expert - Sales
  • Mattress Firm
  • Novi, MI
  • Is your current job a nightmare? Make it a dream job at Mattress Firm! Join Mattress Firm as a Sleep Expert and have the...
  • 3/25/2024 12:00:00 AM

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Sleep Expert - Sales>
  • Mattress Firm
  • Lake Orion, MI
  • Mattress Firm - JR-P0051667 [Sales Associate / Team Member] As a Sleep Expert at Mattress Firm, you'll: Elevate and enha...
  • 3/24/2024 12:00:00 AM

Sterling Heights is a city in Macomb County of the U.S. state of Michigan, and one of Detroit's core suburbs. As of the 2010 census, the city had a total population of 129,699. It is the second largest suburb in Metro Detroit, and the fourth largest city in Michigan. Sterling Heights consistently ranks as the safest city in Michigan with population of over 100,000. Sterling Heights is 16 miles (26 km) from Downtown Detroit. The city's southern border is 6 miles (9.7 km) from Detroit's northern border. The shape of the city is 6 miles (9.7 km) long and 6 miles wide. In 1991 Murray Dublin of Th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$40,389 to $49,685
Sterling Heights, Michigan area prices
were up 1.2% 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