Referral Specialist

Sentara Health Plans; Virginia Beach, Northern (VA, KY); Hybrid; USD 62,268,000 - 94,297,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k with Employer Match

Tuition Assistance

Paid Time Off

Job summary

Sentara Independence in Virginia Beach seeks a Referral Specialist for the CAC Department. This is a remote position but candidates must travel on-site to Sentara Independence or Hampton locations when needed. The role involves scheduling patients, verifying insurance eligibility, and transcribing orders within the work queues.

The ideal candidate has at least 1 year of customer service experience; Epic experience is preferred. High school diploma required.

Qualifications

• High School Diploma required.
• 1 year of customer service experience required.
• Epic experience preferred.

Responsibilities

• Schedule patients and verify insurance eligibility using real-time eligibility tools; pre-register patients as needed.
• Transcribe orders and manage orders within the assigned work queues; ensure data accuracy and timeliness.

Skills

Customer service

Scheduling

Insurance eligibility

Data entry

Education

High School Diploma

Tools

Epic

Job description

## Referral SpecialistApply: Hybrid: Virginia Beach, VA: Full time: Posted Today: JR-106590**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, EpicWe 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, standby/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. **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 if established 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.