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LifeBridge Health

REFERRAL SPECIALIST-PPO

Pay: $45,063/yr
Posted: 6 weeks ago
Location: Frederick, MD (Onsite)
Last Updated: 3 weeks ago
Hours: Full-Time
Expires: 9/11/2026

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What they do

An Enrollment Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. Assists eligible applicants with enrolling in a program.

$51,670 / year median in Maryland

+9% projected growth

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Job Description

REFERRAL SPECIALIST-PPO
Frederick, MD
POTOMAC FREDERICK REGIONAL M
Full-time - Day shift - 8:00am-5:00pm
CLERICAL ADMIN 97864
$17.33-$26.00 Experience based
Posted:
Yesterday Apply Now Save Job Saved Summary Who We Are:
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.
JOB SUMMARY
Prepares and initiates referrals, obtains and tracks authorizations, and follows up on outstanding referrals. Verifies patient coverage for specific benefits. Answers incoming calls regarding referrals. Completes referrals initiated by the primary care physician in a timely and accurate manner; encloses any pertinent information from the patient's chart and contacts patient when referral is complete. Obtains authorizations for scheduled procedures and admissions; assures compliance; coordinates with managed care payors. Maintains, prioritizes and monitors work flow to ensure authorizations and referrals are completed in a timely and accurate manner. Tracks and ages referrals; follows up on those outstanding with the appropriate person. Completes and submits accurate monthly statistic reports. Provides specialist information to the patient to allow them to make their own appointment according to their availability.
REQUIREMENTS
Preferred Associate's Degree or equivalent 1-3 years Required
SPECIFIC REQUIREMENTS
Scheduling experience, Prior Authorization experience, Medical terminology
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