Top 18 Referral specialist Jobs in Maine

Referral Specialist
Northern Light Health —Presque Isle, ME
- Full-time
- Acute care
- Hospital
- Medical office experience
Referral Specialist
Greater Portland Health —South Portland, ME
- $20 - $22 an hour
- Part-time
- English
- Mid-level
- Associate's degree
- 403(b) matching
- Paid holidays
Referral Specialist
Down East Orthopedic Associates PA —Bangor, ME
- Full-time
- Entry level
- Paid holidays
- Health insurance
Quick Apply
Referral Specialist - Topsham Family Medicine
Central Maine Medical Center —Topsham, ME
- $20.71 - $26.01 an hour
- Full-time
- Hospital
- Clinic experience
- Mid-level
Referral Management Specialist
Northern Light Health —Brewer, ME
- Full-time
- Anatomy knowledge
- Customer service
- Computer literacy
10d
Referral Specialist
HealthReach Community Health Centers —Kingfield, ME
- $16.50 - $24.75 an hour
- Full-time
- Background check
- Medical office experience
- Computer skills
- 403(b) matching
- Disability insurance
Quick Apply
1d
Insurance Specialist
RAYUS Radiology —Scarborough, ME
- Remote
- Bilingual
- Computer literacy
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
10d
Referral Specialist
Assistance Plus —Benton, ME
- $18 - $20 an hour
- Full-time
- 18 years or older
- Office
- High school diploma or GED
- Paid holidays
- Disability insurance
3d
Sleep Health Referral Coordinator
Reliable Respiratory —South Portland, ME
- $25 - $30 an hour
- Full-time
- 18 years or older
- Spanish
- Computer literacy
Quick Apply
2d
Referral and Intake Coordinator
Spurwink Services —Portland, ME
- $18.35 - $20.19 an hour
- Monday to Friday
- Microsoft Excel
- High school diploma or GED
- Communication skills
- Paid training
- Disability insurance
3d
Authorization Specialist
New England Life Care —Scarborough, ME
- $21 - $22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Imaging Referrals Scheduler | South Portland, ME | 32-Hours
InterMed, P.A. —South Portland, ME
- $21.40 - $28.30 an hour
- Medical office experience
- HIPAA
- Mid-level
Quick Apply
8d
Insurance Verifier Financial Counselor
Central Maine Medical Center —Lewiston, ME
- $20.00 - $21.50 an hour
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
Insurance Verifier/Financial Counselor
Rumford Hospital —Rumford, ME
- $20.00 - $21.50 an hour
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
Medical office staff-Referrals Specialist
Foot and Ankle Associates —Brunswick, ME
- $18 - $22 an hour
- Full-time
- Private practice
- In-person
- Entry level
- Health insurance
Quick Apply
14d
General Gastroenterologist at Maine Regional Referral Center
Northern Light Health —Bangor, ME
- $610,000 a year
- Full-time
- BC/BE
- Inpatient
- Outpatient experience
- Loan repayment program
- Relocation assistance
Patient Access Representative
Optum —Pittsfield, ME
- $16.15 - $28.80 an hour
- Overnight shift
- Hospital
- Pass drug screening
- High school diploma or GED

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Referral Specialist
Northern Light Health —Presque Isle, ME
Required Associate's DegreeAssociate degree in business management, healthcare, administration, medical coding, or related field or 2 years’ experience in a…
Referral Specialist
Greater Portland Health —South Portland, ME
403(b) employer match up to 3%. Experience in coordination of care, case management, or medical referrals required.
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Referral Specialist

Northern Light Health -
Presque Isle, ME

Apply Now

Job Details

Full-time

Qualifications

Collaborate with healthcare professionals
Business Management
Overseeing health insurance pre-certification
Medicare
Safety protocol adherence
Medical office experience
Healthcare Administration
Coding for hospital billing
Associate's degree in Business Administration
Process improvement
Mid-level
Medical coding experience in outpatient clinics
Healthcare referral management
Medicare regulations
Decision making
Clinical information systems
Client referral services
Business Administration
Health insurance referral requirements
Business
Associate's degree
Medical claim denial management
2 years
Communication skills

Full Job Description

The compensation range listed reflects the range Northern Light Health anticipates relying on in setting the wages for the position. The range may not necessarily include all additional compensation elements available, such as differentials, incentive programs and benefits.

Northern Light A.R. Gould

Department: Physician Practice Central Ops

Position is located: North Street Healthcare Mall

Work Type: Full Time

Hours Per Week: 40.00

Work Schedule: 8:00 AM to 4:30 PM

Exempt: No

Summary :

Referral specialists are responsible for assuring that patients needing diagnostic tests and specialty services are referred to the appropriate department/office efficiently to assure services needed are received timely. They assist with insurance prior authorizations. The role of the referral specialist is critical to assure that every patient receives the definitive care that they need. A major role of the Referral Specialist is to communicate progress of referrals to patients, families, and referring providers. Key characteristics to be successful include expert communication, knowledge of insurances and health systems, teamwork, collaboration, organizational skills, and detail orientation. Multitasking ability is essential as Referral Specialists often are working on multiple cases at a time. Fast paced setting requires independent thinking, ability and willingness to be flexible and adaptable to changes. Re-prioritization of tasks occurs frequently.

Responsibilities:

Manages outgoing referrals and incoming referrals as assigned.
Obtains authorizations for procedures and diagnostics as assigned.
Communicates with patients, providers, office staff, insurers and referrers. Works collaboratively with clinical staff, providers, surgical schedulers, ancillary departments, and insurance carriers to complete work.
Adds new patients to EMR when needed, including assisting with scheduling as assigned.
Manages and monitors prior authorizations/out-going referrals for the assigned departments(s) following Policy and Procedures.
Maintains working knowledge of inpatient vs. outpatient procedures and CPT codes.
Maintains referral tracking documentation to determine that referral is complete.
Maintains current knowledge of various insurance processes necessary to obtain prior authorization; follows Prior Authorization Policy.
Assists with claim denials/research as assigned.
Assists with coding to assure appropriate authorization of procedures.
Makes recommendations for change to improve processes in accordance with mission statement and established goals.
Ensures compliance with Medicare and third-party payers procedures.
Maintain safety standards at all times and report safety issues immediately.
Maintains mandatory education compliance.

Other Information :

Competencies and Skills

Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively.
Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.
Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully.
Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of belonging, empowerment, and cooperation.
Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.

Education

Required Associate's DegreeAssociate degree in business management, healthcare, administration, medical coding, or related field or 2 years’ experience in a medical office or related setting is required.

Required Experience

0 year/years of Relevant Work Experience

Working Conditions

Prolonged periods of sitting.

Northern Light AR Gould Hospital is an acute care hospital located near the Canadian border in Presque Isle, Maine. This is the largest city and economic hub of Aroostook County – Maine’s northernmost county, with a geographic area larger than the states of Maryland and Rhode Island combined. When you're not enjoying year-round outdoor activities, you will be working with supportive colleagues in a facility that offers a surprising range of comprehensive services given its rural location.

AR Gould provides emergency, primary, and specialty care. In addition to traditional acute care, our inpatient units also include acute rehabilitation and a women and children’s unit. It is the only healthcare facility in the region to offer certain life-saving specialty services, such as radiation therapy, a cardiac catheterization lab, and a dialysis center.

The hospital is a member of Northern Light Health, an integrated statewide health system that is raising the bar with no-nonsense solutions that are leading the way to a healthier future for our state.

The University of Maine at Presque Isle, Northern Maine Community College, the Maine School of Science and Mathematics magnet school, and quality local public schools all provide opportunities for academic enrichment. Lakes, rivers, and woodlands are legendary and well-known to hunters, anglers, and outdoor recreationalists. The local airport provides daily, year-round service between Presque Isle International Airport (PQI) and Boston Logan International Airport.

Questions? Contact Talent Acquisition:
phone: 207-973-7100
email: [email protected]

ARG, Presque Isle, Aroostook County, Maine, TAMC, Northern Maine, Rural Health Care

Apply Now

Refine Your Search

referral specialist jobs in maine

Referral Specialist

Referral Specialist

Referral Specialist

Referral Specialist - Topsham Family Medicine

Referral Management Specialist

Referral Specialist

Insurance Specialist

Referral Specialist

Sleep Health Referral Coordinator

Referral and Intake Coordinator

Authorization Specialist

Imaging Referrals Scheduler | South Portland, ME | 32-Hours

Insurance Verifier Financial Counselor

Insurance Verifier/Financial Counselor

Medical office staff-Referrals Specialist

General Gastroenterologist at Maine Regional Referral Center

Patient Access Representative

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