Referral Specialist jobs in Sarasota, FL

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 Coordinator
  • ArchWell Health
  • Sarasota, FL FULL_TIME
  • ArchWellHealth is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.

    JobSummary:
    TheCareCoordinator isresponsible for supporting ourmembersastheynavigatethe complex healthcare delivery system,ensuring every member receives theright care in theright setting. This individualwillserveasa guideforthemember andtheirfamiliesto ensurethe member meets withthe rightspecialists,insideoroutsidethe center,inatimelymanner.Anidealcandidatewill haveadeepunderstanding of the healthcare ecosystem,havestrongattentionto detail,andbe drivenbyapassion for providingqualitycareto seniors.

    Duties/Responsibilities:
    • PartnerwithArchWellHealth'smulti-disciplinarycareteamtogainadeepunderstandingof eachmember's careneeds,includingidentifying gapsand barriersto treatment
    • Coordinatereferralstoexternalproviders, vendors, and servicestoensurecare needsaremet
    • Completeproperdocumentationformemberreferralsto ensurerecordsareaccurateand current
    • Build and nurture relationships with members andtheir families to successfully facilitate care coordination
    • Carry outall activities andprovide ongoingmonitoringas outlinedin amember'scare plan toensure routine followup and progressionis made on care plan goals
    • AdheretoHIPAAstandardsandconfidentialityofprotectedhealthinformation(PHI)
    • Promoteclearcommunicationamongcareteamandtreatingclinicianstoensurepositive member outcomes
    • Assist members in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
    • Be the system navigator and point of contact for members and families, with patients and families having direct access for asking questions and raising concerns.
    • Additionalduties,asassigned
    RequiredSkills/Abilities:
    • Deepunderstandingofthehealthcareecosystem, ideally with experience in benefits and insurance authorization
    • Passionforhelping seniormemberssuccessfullycarryoutcareplans
    • Ability towork effectively with diverse populationsincluding staff, providers, members, family members, insurance carriers, vendors, and the public
    • Basic medical terminology
    • Understanding of Medicare criteria for equipment and supplies
    • Knowledge of CPT and ICD-10 codes
    • Workingknowledgeof specialistsandcommunityresourcestoassistthemember
    • Strongcommunication and rapport-building ability among an interdisciplinary team
    • Ability to multi-task and manage competing prioritieswith high attention to detail
    • Proficient PC skills to include Microsoft Office
    • Fluency in Spanish, or languages spoken by the people in thecommunities we serve (where necessary)
    Education and Experience:
    • H.S. Diploma or equivalent required; degree or college level coursework in healthcare preferred
    • 2 years of experience in referral management or care coordination
    • Medical Assistant or medical administrative experience is helpful
    • Experience with EMR systems, ideally eClinicalWorks or similar
    ArchWellHealth is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.
  • 13 Days Ago

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Referral Coordinator- Florida
  • MAXhealth
  • Sarasota, FL FULL_TIME
  • Busy Multi-Specialty practices seeks Referral Coordinator. The Referral Coordinator is responsible for ensuring that the patient's insurance allows them to access the services of the health care provi...
  • Just Posted

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Specialist
  • Nautical Ventures West LLC
  • Sarasota, FL FULL_TIME
  • The Boating Specialist is responsible for selling boats through consistent customer follow-up and prospecting. Responsibilities include working with the customer, timeliness / accuracy of paperwork an...
  • 19 Days Ago

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Specialist
  • Arch Amenities Group
  • North Port, FL FULL_TIME
  • Arch Amenities Group, the world's leading spa, fitness and amenity management firm, is seeking a Facilities Specialist to supervise and oversee maintenance. The Facilities Specialist is responsible fo...
  • 3 Days Ago

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Specialist
  • T-ROC
  • Venice, FL FULL_TIME
  • At T-ROC you have the POWER TO CREATE CHANGE! As a premiere authorized wireless sales partner working inside of one of the world's largest retailers, you will become an exceptional salesperson! By foc...
  • 17 Days Ago

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Specialist
  • Nautical Ventures
  • Sarasota, FL FULL_TIME
  • The Boating Specialist is responsible for selling boats through consistent customer follow-up and prospecting. Responsibilities include working with the customer, timeliness / accuracy of paperwork an...
  • 1 Month Ago

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0 Referral Specialist jobs found in Sarasota, FL area

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Sleep Expert - Sales>
  • Mattress Firm
  • Tampa, FL
  • Mattress Firm - JR-P0051175 [Sales Associate / Team Member] As a Sleep Expert at Mattress Firm, you'll: Elevate and enha...
  • 3/29/2024 12:00:00 AM

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FT Member Services Specialist - Work From Home>
  • Transcarent
  • Sarasota, FL
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $30 per hour / Medical, dental, and vision / 401k match / P...
  • 3/29/2024 12:00:00 AM

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Customer Support Specialist - Work From Home>
  • Zip
  • Sarasota, FL
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $75K per year / Full health, vision & dental / Apple equipm...
  • 3/29/2024 12:00:00 AM

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FT Member Services Specialist - Work From Home>
  • Transcarent
  • Palmetto, FL
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $30 per hour / Medical, dental, and vision / 401k match / P...
  • 3/29/2024 12:00:00 AM

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Customer Support Specialist - Work From Home>
  • Zip
  • Bradenton, FL
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $75K per year / Full health, vision & dental / Apple equipm...
  • 3/29/2024 12:00:00 AM

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FT Member Services Specialist - Work From Home>
  • Transcarent
  • Arcadia, FL
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $30 per hour / Medical, dental, and vision / 401k match / P...
  • 3/29/2024 12:00:00 AM

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Sleep Expert - Sales
  • Mattress Firm
  • Sarasota, FL
  • 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
  • Sarasota, FL
  • Is your current job a nightmare? Make it a dream job at Mattress Firm®! Join Mattress Firm as a Sleep Expert® and have t...
  • 3/20/2024 12:00:00 AM

Sarasota (/ˌsærəˈsoʊtə/) is a city in Sarasota County on the southwestern coast of the U.S. state of Florida. The area is renowned for its cultural and environmental amenities, beaches, resorts, and the Sarasota School of Architecture. The city is at the southern end of the Tampa Bay Area, north of Fort Myers and Punta Gorda. Its official limits include Sarasota Bay and several barrier islands between the bay and the Gulf of Mexico. According to the U.S. Census Bureau, in 2013 Sarasota had a population of 53,326. In 1986 it became designated as a certified local government. Sarasota is a prin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Referral Specialist jobs
$38,269 to $47,077
Sarasota, Florida area prices
were up 1.5% 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