Referral Specialist

Sentara Healthcare Inc; Virginia Beach, Northern (VA, KY); Hybrid; USD 30,000 - 45,000; Full time

Job summary

Sentara Independence in Virginia Beach is hiring a Referral Specialist in the CAC Department. This is a remote position, but candidates must be able to travel on-site to Sentara Independence or Hampton locations during outages or connectivity issues.

The role involves scheduling patients, verifying insurance eligibility in real-time, preregistration, and managing orders in assigned queues. Ideal candidates have a high school diploma and at least one year of customer service experience; Epic

Qualifications

• 1 year of customer service experience (required).
• Medical Terminology (preferred).
• Epic experience (preferred).

Responsibilities

• Schedule patients and verify insurance eligibility via the real-time eligibility (RTE) tool.
• Pre-register patients and validate data accuracy.
• Serve as liaison between providers, patients, insurance companies and clinical departments; manage orders in work queues.
• Meet turnaround requirements and quality metrics.

Skills

Customer service

Scheduling

Education

High School Diploma

Tools

Epic

Real-time Eligibility Tool

Job description

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.

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.