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Referral Specialist
Referral Specialist-May 2024
Charlottesville
May 1, 2025
ABOUT INSIGHT GLOBAL
Insight Global provides top talent and staffing solutions that help job seekers find careers in healthcare, finance, IT and government.
1,001 - 5,000 employees
Consulting, Technology
VIEW COMPANY PROFILE >>
About Referral Specialist

  Job Description

  Insight Global is seeking a remote referral specialist for a large healthcare system. The person assures that all referrals are managed effectively and efficiently. Provides high-level customer service to both referring physicians as well as referred patients. Obtains pre-authorization for all diagnostic tests and performs additional administrative support functions. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting. The individual must possess the ability to maintain a working knowledge of carrier contracts/changes and departmental policies and procedures.

  Job Description

  * Assures all referrals are handled effectively and efficiently.

  * Analyzes information required to complete pre- authorizations with insurance carriers and service area contacts.

  * Demonstrates the skills of effective communication decision-making and organization to ensure efficient job performance and job success.

  * Provides high-level customer service to both referring physicians as well as referred patients.

  * Assists with operational patient flow as applicable; performs problem-solving.

  * Maintains current working knowledge; adheres to Medical Center and departmental policies and procedures.

  * Provides service in a professional and courteous manner.

  * Performs area-specific support activities.

  * In addition to the above job responsibilities, other duties may be assigned.

  Skills and Requirements

  MINIMUM REQUIREMENTS

  Education: High School graduate or equivalent required. Associate's or Bachelor's Degree preferred.

  Experience: 1 year relevant experience required.

  Licensure: None required.

  PHYSICAL DEMANDS

  This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs. null

  We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].

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