Referral Specialist jobs in Maryland

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)

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Referral Specialist
  • Meritus Health
  • Hagerstown, MD FULL_TIME
  • Referral Specialist
    FULL TIME - 80 hours biweekly

    8AM TO 4:30 PM

    Under the general direction of the Practice Supervisor/Manager, serves as the primary resource for arranging and scheduling authorized patient referrals to specialists for diagnostic procedures and surgery. Obtains necessary pre-authorization approval and refers patients to authorized providers as required by the insurance company to ensure that patients' medical needs are met in a timely and professional manner. In some units, will verify current insurance coverage, contact insurance company to determine coverage and benefits, deductibles and any other requirements and obtain necessary approval from insurance company  to assure proper payment.

     

     

    Minimum Qualifications:

     

    Education - Graduation from high school with commercial, business courses or equivalent.

     

    Experience - Previous experience as a referral specialist preferred.

     

    Licensure/Certification - BLS (CPR) certification in compliance with policy preferred.

     

    Knowledge/Skills/Abilities - Must possess organizational and communication skills.

    Strength Through Diversity 

     

    Meritus Health believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Meritus Health, and we expect a record of achievement and advancement as we meet our mission.

     

    Our commitment to equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to create joy at work and reach their potential.

     

    Happy to Help

     

    At Meritus, we believe in a collaborative and caring work environment. Interactions are an opportunity to learn, listen and to be there for one another. Therefore, we provide warm welcomes, hospitality-driven closures, and are always Happy to Help. 

  • 1 Day Ago

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Referral Specialist
  • Meritus Enterprises Inc
  • Hagerstown, MD FULL_TIME
  • Referral Specialist FULL TIME - 80 hours biweekly 8AM TO 4:30 PM Under the general direction of the Practice Supervisor/Manager, serves as the primary resource for arranging and scheduling authorized ...
  • 1 Day Ago

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Referral Specialist
  • BWW Law Group, LLC
  • Rockville, MD FULL_TIME
  • BWW LAW GROUP, LLC, an “AV” rated real estate default law firm with offices located in Rockville, MD, and Richmond, VA, is seeking a dynamic and motivated individual to join our team in our Rockville,...
  • 1 Month Ago

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Central Referral Specialist
  • Prince George's County Government
  • Largo, MD FULL_TIME
  • Come join our team! Located minutes from downtown Washington, DC Prince George’s is the perfect vibrant community to live, work, and play! We are Prince George’s Proud! Located in the heart of the Bal...
  • 2 Days Ago

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Referral Specialist (remote)
  • Morgan Stephens
  • Bethesda, MD FULL_TIME
  • Job Title: Remote Referral Specialist Hours: Monday - Friday Two shifts: 7:30am - 4pm or 9am - 5:30pm Location: Full remote - DC Metro area candidates only Compensation: $24-28/hr Medical benefits and...
  • 2 Days Ago

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Intake and Referral Specialist
  • Tri-Hearts, LLC
  • Catonsville, MD PART_TIME
  • Overview:We are seeking a detail-oriented and organized individual to join our team as an Intake and Referral Specialist. As a Intake and Referral Specialist, you will play a crucial role in ensuring ...
  • 25 Days Ago

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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...
  • 4/20/2024 12:00:00 AM

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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...
  • 4/20/2024 12:00:00 AM

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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...
  • 4/20/2024 12:00:00 AM

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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...
  • 4/20/2024 12:00:00 AM

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Admission & Referral Specialist II
  • Riverside Healthcare
  • Kankakee, IL
  • Summary The Admission & Referral Specialist II will be responsible for direct contact with clients, referral sources, fa...
  • 4/20/2024 12:00:00 AM

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Referral Specialist /Medical Assistant
  • Trinity Health
  • Grove City, OH
  • Employment Type: Full timeShift: Description: Referral Specialist/ Medical Assistant Why Mount Carmel? With five hospita...
  • 4/20/2024 12:00:00 AM

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Admission & Referral Specialist II
  • Riverside Healthcare
  • Kankakee, IL
  • Summary The Admission & Referral Specialist II will be responsible for direct contact with clients, referral sources, fa...
  • 4/18/2024 12:00:00 AM

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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 ...
  • 4/16/2024 12:00:00 AM

Maryland (US: /ˈmɛrələnd/ (listen) MERR-əl-ənd) is a state in the Mid-Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east. The state's largest city is Baltimore, and its capital is Annapolis. Among its occasional nicknames are Old Line State, the Free State, and the Chesapeake Bay State. It is named after the English queen Henrietta Maria, known in England as Queen Mary. Sixteen of Maryland's twenty-three counties border the tidal waters of the Chesapeake Bay estuary and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$41,671 to $51,158

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