Top 69 Health specialist Jobs in Providence Ri

Referral Specialist
Brown University Health —Providence, RI
- $19.03 - $31.39 an hour
- 8 hour shift
- Spanish
- Hospital
- Mid-level
Customer Service Specialist
Brown University Health —Providence, RI
- $20.96 - $34.61 an hour
- 8 hour shift
- Research
- Office
- High school diploma or GED
11d
pre-registration specialist
Brown University Health —Providence, RI
- $19.03 - $31.39 an hour
- Part-time
- HIPAA
- Mid-level
- Office
3d
Quality Specialist
Brown University Health —Providence, RI
- 8 hour shift
- Microsoft Excel
- Microsoft Outlook
- Primary Care
Health Information Specialist
The Providence Community Health Centers, Inc. —Warwick, RI
- Full-time
- HIPAA
- English
- Windows
Quick Apply
Clinical Access Specialist Weekends Only
Care New England Health System —Providence, RI
- Weekends only
- Microsoft Outlook
- Hospital
- Mid-level
Front Desk Specialist
Ortho Rhode Island —Providence, RI
- $17.85 - $22.30 an hour
- Full-time
- Private practice
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Authorizations Specialist
Rhode Island Medical Imaging —Warwick, RI
- Monday to Friday
- Hybrid work
- Bilingual
- Computer literacy
- HIPAA
- Profit sharing
- Loan repayment program
Quick Apply
988 Quality Improvement Specialist (Full Time)
Community Care Alliance —East Providence, RI
- Full-time
- Mid-level
- High school diploma or GED
- 2 years
- 403(b) matching
- Mileage reimbursement
Clinical Access Specialist Per Diem
Care New England Health System —Providence, RI
- Per diem
- Microsoft Outlook
- Hospital
- Mid-level
Clinical Access Specialist PT Weekend Nights
Care New England Health System —Providence, RI
- Part-time
- Microsoft Outlook
- Addiction Medicine
- Hospital
Front Desk Specialist Part Time
Ortho Rhode Island —Warwick, RI
- $17.85 - $22.30 an hour
- Part-time
- Spanish
- Microsoft Excel
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Benefits Investigator/Authorization Specialist
Suite Life Health & Wellness LLC —Fall River, MA
- Full-time
- Mid-level
- Office
- Organizational skills
Quick Apply
4d
MG Patient Service Specialist
Brown University Health —Providence, RI
- $18.13 - $29.90 an hour
- 8 hour shift
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
Referral Specialist Gastroenterology
Brown University Health —East Providence, RI
- $19.03 - $31.39 an hour
- 8 hour shift
- Computer literacy
- Mid-level
- High school diploma or GED
Insurance Authorization Specialist
Highbar Physical Therapy —Providence, RI
- From $20 an hour
- Full-time
- High school diploma or GED
- Front desk
- Outpatient
- Wellness program
- Paid holidays
Quick Apply
Insurance Benefit Specialist
Highbar Physical Therapy —Providence, RI
- From $20 an hour
- Full-time
- High school diploma or GED
- Entry level
- Wellness program
- Paid holidays
Quick Apply
Customer Support Specialist - Employee Benefits
NFP Corp —Providence, RI
- $50,000 - $55,000 a year
- Full-time
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Paid time off
10d
Third Party Specialist
Care New England —Warwick, RI
- $18.67 - $32.11 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Word processing
- Mid-level
- Health insurance
- Dental insurance
Professional Biller II
Care New England —Warwick, RI
- $18.67 - $32.11 an hour
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance

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Referral Specialist

Brown University Health -
Providence, RI

Apply Now

Job Details

Part-time
$19.03 - $31.39 an hour

Qualifications

Customer communication
Working with individuals from diverse cultural backgrounds
Health information management

Full Job Description

Job ID: JR-108260
Entity: Rhode Island Hospital
Location Name: Rhode Island Hospital
City, State: Providence, RI
Work Type: PART TIME
Hours Per Week: 28
Shift: Day
Posted Date: 4/6/2026

SUMMARY

The Referral Specialist reports to a Patient Access Manager. Under the general supervision, ensures the quality of the referral process is upheld to departmental standards. Evaluates the incoming referral for information that is accurate and appropriately reflects the patient symptom to the requested treatment. Ensures quality control of the referral process is upheld by reviewing the accuracy and timeliness of referrals through monthly standard reports. Coordinates the effective and efficient processing and scheduling of all incoming referrals, adhering to established timelines and departmental procedures. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES

Receives and reviews all incoming referrals ensuring completeness and accuracy. Ensures all information is received including patient demographics, insurance, and authorizations. Communicates promptly with referring provider and/or patient regarding insurance coverage issues (e.g. non-participation status) so the patient may seek timely services elsewhere.

Evaluates and determines triage when reviewing the referral by following established clinic referral guidelines for complete/compliant information.

Determines if referral is in need of additional clarification, evaluates the content matter to services requested, and determines if the referral needs to be escalated to management for assistance or resolution.

Returns incomplete/non-compliant referrals based on triage guidelines to referring physician office indicating the reason for return.

Ensures quality control of the referral process is upheld by reviewing the accuracy and timeliness of referrals through monthly standard reports.

Provides accurate and timely communication with patients, referring providers, and other staff.

Performs at benchmarked levels related to accuracy, productivity, quality, and customer service as defined by industry standards and internal quality management.

Coordinates and provides guidance to Outpatient Service Representative (OSR) or other staff to ensure proper documentation is made in referral record. Assists and provides support to staff when entering all referral information into the electronic health record (EHR) for any external referrals received including demographics, reason for referral, and insurance authorization information. Scans referrals received by fax and/or on paper into the appropriate section of the referral record.

Documents any communication with referring providers, patients, and/or Clinic (MD, RN, etc.) in the EHR.

Responds to incoming telephone calls regarding pending referrals, including timely response to voicemail messages.

Coordinates and provides support when scheduling all referral appointments established by practice protocols and specifically those that require prior authorization (i.e. office, procedural, drug, etc.). Maintains current knowledge of insurer referral/authorization requirements, have a working understanding of the patient population, and demonstrate cultural awareness and sensitivity.

Schedules appointments according to triage guidelines. Ensures all demographics information is updated, insurance verified, and authorizations obtained. Notifies patients of appointment, explains, and educates patient to a level of understanding for the preparation needed for the upcoming appointment.

Communicates with referring providers and ensures documentation of that communication in the EHR.

Documents any and all communication with patients in the EHR. Communicates with referring providers when patients decline appointments and/or do not keep their appointments. Refers patients to the Patient Financial Advocate when necessary.

Acts as a liaison/resource with patients, referring providers, community providers, and practice team members regarding referral issues utilizing the highest level of customer service.

Consistently monitors clinic schedules to ensure maximized scheduling and fills any available/open timeslot including those appointments cancelled and/or rescheduled.

Notifies Provider and/or Manager if unable to schedule referral, need to reschedule appointment due to missing referral and/or prior authorization, or if there are any other access issues.

Monitors Referral Work-Queues and ensures that all referrals have been processed accordingly.

Performs other duties as assigned including review of denials queue, resolving denial, and reporting to Manager any discrepancies and trends.

MINIMUM QUALIFICATIONS

BASIC KNOWLEDGE:

High school degree or the equivalent experience

EXPERIENCE:

Two years of clinical referral experience required and/or at least one year of related experience in coding/billing and medical record operations in an ambulatory care facility Health Information/Medical Record Department.
Familiarity and understanding of the content of the medical record.
Spanish speaking strongly preferred.
Strong organizational skills with a proven ability to prioritize and handle frequent changes in workload and able to manage competing priorities.
Excellent customer service and communication skills with the ability to discuss delicate matters with patients and referring providers required.
Demonstrated knowledge and skills necessary to provide care to patients through the life span with consideration of aging processes, human development stages, and cultural patterns in each step of the care process.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS

Work is performed in a typical medical office setting requiring extensive sitting, standing, and walking. Reads referrals for new patient appointments for the majority of a day. Ability to work under fast-paced sometimes stressful conditions to process new patient referrals meeting productivity and accuracy metrics. Organized and able to manage competing priorities ability to use good judgment by showing resourcefulness in problem-solving.

Pay Range

$19.03-$31.39

Location

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type

M-F 8:30AM-5:00PM

Work Shift

Day

Daily Hours

8 hours

Driving Required

Yes

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Apply Now

Refine Your Search

health specialist jobs in providence ri

Referral Specialist

Customer Service Specialist

pre-registration specialist

Quality Specialist

Health Information Specialist

Clinical Access Specialist Weekends Only

Front Desk Specialist

Authorizations Specialist

988 Quality Improvement Specialist (Full Time)

Clinical Access Specialist Per Diem

Clinical Access Specialist PT Weekend Nights

Front Desk Specialist Part Time

Benefits Investigator/Authorization Specialist

MG Patient Service Specialist

Referral Specialist Gastroenterology

Insurance Authorization Specialist

Insurance Benefit Specialist

Customer Support Specialist - Employee Benefits

Third Party Specialist

Professional Biller II