Top 36 Referral specialist Jobs in Columbus

Referral Specialist
Equitas Health, Inc. —Columbus, OH
- $18.13 - $21.78 an hour
- Weekends as needed
- 3 years
- Administrative experience
- High school diploma or GED
- Paid holidays
- Dental insurance
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Referral Specialist- Pulmonary & Sleep
Mount Carmel —Columbus, OH
- Full-time
- Computer literacy
- High school diploma or GED
- Computer skills
- Relocation assistance
- Health insurance
6d
Referral Specialist
PrimaryOne Health —Columbus, OH
- High school diploma or GED
- Entry level
- Paid holidays
- Disability insurance
Call Center Verification Specialist
Equitas Health, Inc. —Columbus, OH
- $20.43 - $24.52 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Dental insurance
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Patient Financial Specialist III
Mount Carmel —Columbus, OH
- Full-time
- Surgery
- Hospital
- Customer service
- Relocation assistance
- Health insurance
Medical Administrative Representative
Bridgeway Academy —Columbus, OH
- $19 - $22 an hour
- Full-time
- Google Workspace
- Microsoft Outlook
- HIPAA
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4d
Financial Clearance Representative L1 (PreReg)
Ohio State University Physicians —Columbus, OH
- $16.59 - $24.89 an hour
- Full-time
- Remote
- Computer literacy
- HIPAA
- Microsoft Office
- Wellness program
- Paid holidays
3d
BH Insurance/Precert Specialist
Nationwide Children's Hospital —Columbus, OH
- Full-time
- CPR Certification
- BLS Certification
- High school diploma or GED
Medical Administration Representative/Front Desk
Bridgeway Academy and Therapy Center —Columbus, OH
- $19 - $22 an hour
- Full-time
- Background check
- Google Workspace
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
5d
Prior Authorization Specialist
WSD —Westerville, OH
- $18 - $25 an hour
- Part-time
- Medical office experience
- HIPAA
- Mid-level
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6d
UR Coordinator, Full Time
RiverVista Behavioral Hospital —Columbus, OH
- $24 - $32 an hour
- Full-time
- Nursing
- Adults
- HIPAA
- Paid holidays
- Disability insurance
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Billing Agent (Contract)
Backpack Healthcare —Columbus, OH
- $20 an hour
- Contract
- Remote
- Google Workspace
- Microsoft Excel
- 5 years
Quick Apply
2h
Care Management Coordinator
Dermatologists of Central States —New Albany, OH
- Office
- High school diploma or GED
- 1 year
Quick Apply
Client Insurance Specialist
Integrated Services for Behavioral Health —Columbus, OH
- $20.97 - $24.56 an hour
- Hybrid work
- Mid-level
- Organizational skills
- 2 years
- Disability insurance
- Health insurance
Quick Apply
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
- $18.13 - $21.78 an hour
- Weekends as needed
- Mid-level
- Driver's License
- Driving
- Dental insurance
- 401(k)
Quick Apply
Business Office Coordinator
Ohio Hospital for Psychiatry —Columbus, OH
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Health savings account
- Health insurance
Homecare Prior Authorization Supervisor
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years
Specialist, Utilization Review
Columbus Springs East —Columbus, OH
- Full-time
- CPR Certification
- Management
- BLS Certification
- Disability insurance
- Health insurance
Quick Apply
Supervisor - Eligibility & Enrollment
Firstsource Healthcare —Columbus, OH
- Overtime
- Hybrid work
- Hospital
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
13d
Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
- Weekends as needed
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid time off
- 401(k) matching
Quick Apply
1d

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referral specialist jobs near columbus

Referral Specialist

Equitas Health, Inc. -
Columbus, OH

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Job Details

$18.13 - $21.78 an hour

Benefits

Paid holidays
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Cultural competency
Working with individuals from diverse cultural backgrounds

Full Job Description

ORGANIZATION INFORMATION:

Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of the nation’s largest HIV/AIDS, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) healthcare organizations. With 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives.

HOURLY RATE:$18.13-$21.78

BENEFITS:

PTO
Vision
Dental
Health
401k
Sick time
Paid Holidays

POSITION SUMMARY: The Referral Specialist supports the mission and core values of Equitas Health through responsible and effective work performance by providing support to clinical staff in order to facilitate the administrative components of clinical referrals for various services. ESSENTIAL JOB FUNCTIONS: Essential job functions include effectively communicating with internal and external customers including medical providers, clinic staff, and insurance companies, and maintaining ongoing tracking and appropriate documentation on referrals and authorizations via computer system and/or manual systems. MAJOR AREAS OF RESPONSIBILITIES:

Screen and schedule incoming referrals.

Obtain prior authorization for diagnostic services and procedures.

Answers questions from patients, clerical staff, providers and insurance companies.

Answers, responds and documents phone calls, request and questions from patients in a timely manner. Calls must be accurately managed or redirect as appropriate.

Responds to in-house provider and clinical staff questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status.

Notifies the client of appointments scheduled, makes follow-up calls to off-site providers to ensure that client kept appointment.

Maintains competency in obtaining and inputting medical information to and from clinical and /or other information systems including accessing information as required to complete the referral process.

Verifies insurance coverage and obtains authorizations if needed from insurance coverage.

Enters referrals and documents communications, actions, and other data in EPIC daily.

Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.

Maintains an accurate records of external referral patient's appointments that are kept, failed, and current status in the Referral Management System (EPIC)) .

Documents efforts to reschedule patients and provide documentation in EMR/Referral Management Data base, as appropriate.

Routinely makes reminder phone calls, reminder to referral patients in advance of appointment with outside providers.

Responds to in-house provider and clinical staff questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status.

EDUCATION/LICENSURE:

High School diploma or GED.

KNOWLEDGE, SKILLS, ABILITIES AND OTHER QUALIFICATIONS:

Three years of customer service experience and clerical experience in a medical facility

Knowledge of clinical/medical office procedures and Medical Terminology.

Ability to be flexible and relate well with others in a professional and pleasant manner

Experience with EMR. Epic experience preferred.

Previous insurance verifier, pre-authorization and/or medical receptionist experience.

Excellent communication skills with a high degree of tact and poise to deal effectively with patients, physicians, staff members and the public.

Excellent organizational skills with an ability to prioritize and manage multiple tasks.

Ability to work efficiently without constant supervision and exercise a degree of initiative and judgment.

Must have sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, sexual practices, and a demonstrated competence in working with persons of color, and gay/lesbian/bisexual/transgender community.

Ability to maintain confidentiality.

OTHER INFORMATION:

Background and reference checks will be conducted. In accordance with Equitas Health’s Drug-Free Workplace Policy, pre-employment drug testing will be administered. Hours may vary, including working some evenings and weekends based on workload. Individuals are not considered applicants until they have been asked to visit for an interview and at that time complete an application for employment. Completing the application does not guarantee employment. EOE/AA

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

referral specialist jobs in columbus

Referral Specialist

Referral Specialist- Pulmonary & Sleep

Referral Specialist

Call Center Verification Specialist

Patient Financial Specialist III

Medical Administrative Representative

Financial Clearance Representative L1 (PreReg)

BH Insurance/Precert Specialist

Medical Administration Representative/Front Desk

Prior Authorization Specialist

UR Coordinator, Full Time

Billing Agent (Contract)

Care Management Coordinator

Client Insurance Specialist

Prior Authorization Specialist

Business Office Coordinator

Homecare Prior Authorization Supervisor

Specialist, Utilization Review

Supervisor - Eligibility & Enrollment

Utilization Management Specialist

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