Referral Specialist jobs in Pennsylvania

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
  • CENTER FOR ORGAN RECOVERY AND EDUCA
  • Pittsburgh, PA OTHER
  • Job Details

    Job Location:    Headquarters - Pittsburgh, PA
    Salary Range:    Undisclosed

    Description

    JOB DESCRIPTION REFERRAL SPECIALIST

    Department: Donation Resource Center

    Reports to: Organ Donation Resource Manager

    Exemption Status: Non-Exempt

    Work Schedule: Full-time

    Job Location: Pittsburgh

    OSHA Category: Clinical

    Supervisory Responsibilities: None

    POSITION SUMMARY

    This position of Referral Specialist for the Center for Organ Recovery & Education (CORE) is responsible for maximizing the organ referral and evaluation process through the identification and evaluation of each potential donor to ensure optimal outcomes for the donor families and recipients.

    SCOPE OF RESPONSIBILITY

    The Referral Specialist is responsible for assessing and determining potential donors to maximize donation opportunities from CORE’s region, but also throughout the United States and Canada. They will be responsible for initial intake, assessing organ donor suitability, and enhancing the donation process. They will need to have sound computer knowledge and application. They will be responsible for knowing, and working within, CORE policies and procedures.

    The Referral Specialist will be responsible for following the criteria for deployment of the Clinical On-Site Specialist, Designated Requestor, and/or Organ Procurement Coordinator on potential and/or actual organ donors.

    The Referral Specialist will be able to provide back-up to the Quality Coordinators in obtaining and reporting culture results to transplant centers.

    The Referral Specialist must be available to work both daylight and night shifts. The Shifts will consist of four 12-hour shifts with four days off. Shifts are 7am-7pm and 7pm-7am and will rotate monthly.

    Qualifications


    JOB QUALIFICATIONS

    The ideal candidate would have some type of medical background with at least one to two years of experience as an EMT-P, LPN, RT, medical scribe, similar role, or previous OPO experience, and some experience with medical terminology. They must have strong communication skills, sound judgment, excellent verbal skills ability to interact and communicate effectively with a wide range of people, including medical staff, hospital personnel and donor families. They also must be skilled in dealing with diverse issues where many problems exist simultaneously and often compete for immediate attention. They must demonstrate a professional commitment to donation and CORE’s ability to achieve its mission. They must have the ability to work flexible hours. Shift work is expected. They must complete an extensive six-month training program.

    DEGREE OF JOB DIFFICULTY

    The degree of difficulty for this job falls into the moderate range. Because of the nature of the information translated to the transplant and donor hospitals, the need for accuracy is critical. Though there are built-in levels of communication and safeguards to prevent inadvertent errors or mistakes that could result in the death of a transplant recipient, attention to details gained through reflective listening is paramount.

  • 1 Month Ago

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Admissions Referral Specialist
  • Foundations Behavioral Health
  • Doylestown, PA FULL_TIME
  • We are currently hiring a full-time Admissions Referral Specialist to join our Intake team! We offer flexible scheduling, with the option to work either Sunday through Thursday from 3:30p-12:00am or M...
  • 19 Days Ago

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Intake and Referral Specialist
  • Mainstay Life Services
  • Pittsburgh, PA FULL_TIME
  • The Intake and Referral Specialist is an external and internal-facing role responsible for enhancing access to Mainstay’s program services. They serve as the main point of contact for people seeking s...
  • 12 Days Ago

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Referral Specialist - Philadelphia
  • Hollister Incorporated
  • Trevose, PA FULL_TIME
  • Summary: The Referral Specialist is responsible for verifying, obtaining, reviewing, and accurately determining that all medical documentation received from physicians or referral sources meet all Loc...
  • 12 Days Ago

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RTF Referral Management Specialist
  • Child & Family Focus, Inc.
  • Broomall, PA FULL_TIME
  • Exciting News!! Now through June 2024, CFF is offering a $500 sign on bonus*; $250 paid on first check and $250 on the paycheck following 6 months. *Bonus amounts could be prorated based on number of ...
  • 13 Days Ago

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Admissions Referral Specialist
  • UHS
  • DOYLESTOWN, PA FULL_TIME
  • Responsibilities We are currently hiring a full-time Admissions Referral Specialist to join our Intake team! We offer flexible scheduling, with the option to work either Sunday through Thursday from 3...
  • 23 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...
  • 4/25/2024 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...
  • 4/25/2024 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...
  • 4/25/2024 12:00:00 AM

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Referral Specialist
  • State Farm
  • Schertz, TX
  • Job Description Job Description Outbound calling generating leads/appointments/sales by phone. 4-hour shift Monday-Frida...
  • 4/23/2024 12:00:00 AM

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Referral Specialist
  • Trinity Health
  • Des Moines, IA
  • Employment Type: Full timeShift: Description: Gather, verify, and process referrals, authorizations, and pre-certificati...
  • 4/22/2024 12:00:00 AM

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Referral Specialist
  • The South Bend Clinic
  • South Bend, IN
  • Overview: Department: Business Office Location: University Commons Campus; 6301 University Commons, South Bend, IN 46635...
  • 4/21/2024 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 ...
  • 4/21/2024 12:00:00 AM

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Referral Specialist
  • Matthew Walker Comprehensive Health Center
  • Nashville, TN
  • Job Description Job Description Matthew Walker Comprehensive Health Center has an exciting opportunity available for a s...
  • 4/21/2024 12:00:00 AM

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$40,337 to $49,520

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