Referral Specialist

Sentara Health; Charlottesville (VA); Remote; USD 30,000 - 45,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/403B with employer match

Paid Time Off

Job summary

Sentara Independence in Virginia Beach is seeking a Referral Specialist for the CAC Department. This is a remote role with the ability to travel on-site for connectivity outages at Sentara Independence or Hampton locations.

You will schedule patients, verify insurance eligibility using real-time tools, and pre-register patients while ensuring data accuracy. Collaboration with providers and departments is essential to meet KPIs and quality metrics.

Qualifications

• High School Diploma is required.
• 1 year of customer service experience is required.
• Scheduling and insurance eligibility experience preferred.
• Epic experience and Medical Terminology are preferred.

Responsibilities

• Schedule patients and verify insurance eligibility using the real-time eligibility tool.
• Pre-register patients and ensure data accuracy.
• Collaborate with internal and external customers to meet KPIs and leadership expectations.
• Manage orders in assigned work queues.

Skills

Scheduling

Insurance verification

Customer service

Communication

Data entry

Education

High School Diploma

Tools

Epic experience

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

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $21.73 - $32.91 hourly. Additional compensation may be available for this role, such as shift differentials, on-call pay, overtime, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs.Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.

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 ifestablished 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.