Top 48 Referral specialist Jobs in Decatur Ga

Medicaid Eligibility Specialist I (GA / Hybrid)
FreedomCare —Atlanta, GA
- $23 - $25 an hour
- Remote
- Home Health
- Business
- Associate's degree
- Health insurance
- Retirement plan
Quick Apply
5d
Lien Coordinator
American Health Imaging —Atlanta, GA
- Full-time
- Remote
- Entry level
- Paid parental leave
- AD&D insurance
Quick Apply
8d
Insurance Verifier, PRN
Northside Hospital Inc. —Atlanta, GA
- No weekends
- Hospital
- Mid-level
- Computer skills
Insurance Verification Specialist
Aviary —Atlanta, GA
- $22 - $24 an hour
- Full-time
- Remote
- Background check
- HIPAA
- Research
Quick Apply
Lab Assistant (Referral Representative I)
Quest Diagnostics —Tucker, GA
- From $17.75 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Employee stock purchase plan
- Disability insurance
Quick Apply
Community Outreach & Referral Development Coordinator
Quality Personal Care —Atlanta, GA
- $30,000 - $75,000 a year
- Contract
- Physical & Rehabilitation Medicine
- Home Health
- Reliable transportation
- Flexible schedule
- Referral program
Quick Apply
14d
Referral Coordinator
Nexuscps LLC —Conyers, GA
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- 401(k)
- Paid time off
Quick Apply
Referral Coordinator
Morehouse School Of Medicine —Atlanta, GA
- HIPAA
- Mid-level
- High school diploma or GED
Case Management Authorization. Spec IP
Emory Healthcare —Atlanta, GA
- $24.12 - $29.39 an hour
- Part-time
- Mid-level
- High school diploma or GED
- Ability to lift 50 pounds
- Wellness program
- Health insurance
Intake Coordinator SO
PruittHealth —Norcross, GA
- Full-time
- Background check
- Microsoft Excel
- Mid-level
11d
Referral Coordinator
Summit Spine and Joint Centers —Lawrenceville, GA
- Full-time
- Medical office experience
- Negotiation
- Entry level
Quick Apply
Prior Authorization Coordinator
Soleo Health Inc —Atlanta, GA
- $20 - $23 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- High school diploma or GED
- Paid parental leave
- Health savings account
Quick Apply
Surgery Prior Authorization Specialist
PEDIATRIC EAR NOSE & THROAT OF ATLANTA PC —Atlanta, GA
- Full-time
- Surgery
- HIPAA
- Mid-level
Quick Apply
Financial Counselor I
United Digestive —Atlanta, GA
- Full-time
- Remote
- Computer literacy
- Pass drug screening
- HIPAA
Quick Apply
4d
Part-Time Referral Development Representative (Cobb County)
Angel Companions —Marietta, GA
- Part-time
- Hospital
- Clinic
- Older adults
Quick Apply
1d
Conditional Payment Specialist
EXAMWORKS COMPLIANCE SOLUTIONS LLC —Lawrenceville, GA
- $19 - $21 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Basic math
- Health insurance
- Dental insurance
Quick Apply
Front Desk Insurance Coordinator
East Atlanta Surgery Center —Atlanta, GA
- $22 - $27 an hour
- Full-time
- Surgery
- HIPAA
- Mid-level
- Dental insurance
- 401(k) matching
Quick Apply
4d
Referral Specialist
McMichael Taylor Gray, LLC —Peachtree Corners, GA
- Full-time
- Background check
- Microsoft Outlook
- Mid-level
Quick Apply
Insurance Coordinator
Depoe Eye Center PC —Stockbridge, GA
- $14 - $18 an hour
- 8 hour shift
- High school diploma or GED
- Clinic
- In-person
- 401(k)
- Paid time off
Quick Apply
Referral Access: Business Development Associate
Convertros —Atlanta, GA
- Remote
- Entry level

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Medicaid Eligibility Specialist I (GA / Hybrid)

FreedomCare -
Atlanta, GA

Quick Apply

Job Details

$23 - $25 an hour
5 days ago

Benefits

Health insurance
Retirement plan

Qualifications

Customer communication

Full Job Description

Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We're the largest consumer-directed home care agency in NY State, and are continually expanding our areas of focus including operations in other states and tech-based innovations.

We pride ourselves on our values which drive the level of care that we deliver to our patients:

Here For You (An attitude of service, empathy, and availability)
Own It (Drive and ownership)
Do the Right Thing (High integrity)
Be Positive (Great attitude and a can-do positive approach to challenges)

Join our team and make a positive impact on the lives of others! We are looking for a Medicaid Eligibility Specialist II for our Georgia team.

This role is remote with potential travel to the FreedomCare hub closest to you.

Department & Position Overview:

The Medicaid Eligibility Specialist II focuses on enhancing the patient experience by verifying eligibility for Medicaid benefits, facilitating the approval process, and maintaining eligibility status to allow them to receive our services; expediting the time it takes for them to enroll into our programs.

In addition to verifying patient eligibility and facilitating the approval process for Medicaid benefits, they will be responsible for ensuring compliance with all relevant regulations. The Medicaid Eligibility Specialist II requires a high level of attention to detail, excellent communication skills, and requires in-depth knowledge and understanding of Medicaid policies, regulations, and procedures.

Every Day You Will:

Verification and Eligibility:

- Develop in-depth understanding of FSSA's programs including benefits, eligibility requirements, and enrollment process through the development of contacts with the State Medicaid agency, identifying online resources, and attendance at relevant Medicaid meetings
- Serve as the Subject Matter Expert (SME) for all questions related to Medicaid eligibility
- Verify patient eligibility for Medicaid benefits using various online systems and tools
- Assist patient with preliminary review of documentation and requirements for application for Medicaid, ensuring all required documentation is complete and accurate
- Confirm coverage details and determine patient benefits and process based on Medicaid guidelines
- Investigate Medicaid issues related to eligibility, deferrals, denials and re-certifications through contact with the Patient or Patient representative to identify the cause of eligibility related issues and offering recommendations for resolution

Documentation and Record Keeping:

- Maintain accurate and detailed records of verification processes and outcomes
- Update patient records in Salesforce to reflect current Medicaid status

Communication:

- Serve as a point of contact for Medicaid inquiries from clients, caregivers, and Health plan partners
- Assist clients in understanding Medicaid eligibility, benefits, and application processes
- Advocate for clients to ensure they receive appropriate Medicaid services
- Respond to inquiries from patients and healthcare providers regarding Medicaid coverage and eligibility

Collaboration and Support:

- Work closely with partnering departments to resolve any issues related to Medicaid coverage and recertification
- Assist with training staff members on Medicaid verification procedures and policies
- Collaborate with partnering departments, case managers, and other healthcare professionals to support patients' access to Medicaid benefits

Ideal Candidate Will Possess:

Associate degree or higher in healthcare administration, business, or a related field preferred
Minimum of 2 years of experience in healthcare, insurance verification, or a related field
Experience with Medicaid verification and understanding of Medicaid regulations is highly preferred
Proven track record of strong customer focus and adaptability in a high call volume environment (inbound and outbound)
A passion for providing a high level of customer service, including the ability to show empathy, active listening and patience
Effective written and verbal communication skills with the ability to engage with diverse audiences
Ability to multitask, set priorities, and manage time effectively
Technical proficiency with the ability to navigate through multiple systems; while maintaining attention to detail and data accuracy
Demonstrates fluency over all tools and resources specific to the role, with heavy reliance on Excel
Ability to embrace change and departmental growth in an evergreen environment

Why work at FreedomCare?

We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.

This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!

At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and do not discriminate based upon race, religion, color, national origin, ancestry, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, status as a protected veteran, status as an individual with a disability, citizenship or immigration status, or other applicable legally protected characteristics.

Quick Apply

Refine Your Search

referral specialist jobs in decatur ga

Medicaid Eligibility Specialist I (GA / Hybrid)

Lien Coordinator

Insurance Verifier, PRN

Insurance Verification Specialist

Lab Assistant (Referral Representative I)

Community Outreach & Referral Development Coordinator

Referral Coordinator

Referral Coordinator

Case Management Authorization. Spec IP

Intake Coordinator SO

Referral Coordinator

Prior Authorization Coordinator

Surgery Prior Authorization Specialist

Financial Counselor I

Part-Time Referral Development Representative (Cobb County)

Conditional Payment Specialist

Front Desk Insurance Coordinator

Referral Specialist

Insurance Coordinator

Referral Access: Business Development Associate

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