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Sentara Hospitals

Referral Specialist I

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What they do

An Eligibility 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. May assist eligible applicants with enrolling in a program.

$51,852 / year median in the U.S.

+20% projected growth

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Job Description

Referral Specialist I Sentara Hospitals - 3.7 Virginia Beach, VA Job Details Full-time 1 hour ago Benefits 403(b) matching Paid parental leave Caregiver leave Disability insurance Health insurance Dental insurance Tuition reimbursement Paid time off Parental leave Vision insurance 401(k) matching 403(b) Life insurance Pet insurance Qualifications High school diploma or GED Cross-functional collaboration Customer service problem-solving Full Job Description City/State Virginia Beach, VA Work Shift First (Days)
Overview:
Sentara Independence in Virginia Beach is looking to hire a Referral Specialist for our CAC Department.
Position location:
This is a remote position; however, candidates must be able to travel on-site when connectivity or power outage occurs to our Sentara Independence or Hampton locations. The Referral Specialist will perform at least one of the following functions: act as a liaison between the providers, patients, insurance companies, and clinical departments to schedule patients, verify insurance eligibility, and transcribe orders. Specialists are responsible for managing orders within their assigned work queues.
Key Responsibilities:
Responsible for scheduling patients, confirms insurance eligibility through the real-time eligibility (RTE) tool, or pre-registering patients. Validates accuracy of data when performing these functions.
Other Requirements:
Consistently meets turnaround requirements for job functions. Consistently meets required department adherence and quality metrics. Requires knowledge of proper scheduling procedures, call handling, or preregistration requirements. Accountable to problem solve, investigate and help resolve problems for work assignments. Must collaborate effectively with internal and external customers to reach desired results as determined by key performance indicators and leadership.
Education:
High School Diploma (required)
Experience:
1 year of customer service experience (required) Medical Terminology (preferred) Epic experience (preferred)
Keywords:
Talroo-Allied Health, Healthcare, Customer Service, Scheduling, Insurance Eligibility, Quality Score Cards, Epic .
Benefits:
Caring For Your Family and Your Career Medical, Dental, Vision plans Adoption, Fertility and Surrogacy Reimbursement up to $10,000 Paid Time Off and Sick Leave Paid Parental & Family Caregiver Leave Emergency Backup Care Long-Term, Short-Term Disability, and Critical Illness plans Life Insurance 401k/403B with Employer Match Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education Student Debt Pay Down - $10,000 Pet Insurance Legal Resources Plan Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Benefits

  • Paid Time Off (PTO)
  • Sick Leave
  • Financial Aid/Assistance
  • 401(k) Plans