Common Spirit Health
Referral Specialist I
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. Our Mission As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values. The Referral Specialist serves as the liaison for patients and physicians while providing education to the patients regarding insurance coverage, benefits and guidelines. Works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits, ancillary testing and/or surgical procedures. Processes referrals, authorizations and pre-certifications to ensure proper patient care is met. Performs a wide range of administrative duties to include but not limited to; verification of benefits, maintain ongoing tracking; gathering appropriate documentation on referrals to promote team awareness and guarantee patient safety; contacting insurance companies to ensure prior approval requirements are met and regularly updating the patient's primary care chart, so it is up to date with information on specialist consults and communication from all inhouse and outside parties. Qualifications -1-year related experience in a healthcare environment -History in patient scheduling/registration, insurance verification and referral coordination -Strong customer service focus -Resourcefulness in problem solving -Effective verbal and written communication skills -Teamwork orientation -Organized record keeping -Able to take and follow through with delegated tasks and accountability -High School Diploma/GED Dignity Health's Pacific Central Coast Health Centers (PHC) is a non-profit Community clinic organization comprised of more than 40 health centers located primarily from Ventura to Templeton, spanning the coast. Our experienced physicians and advanced practice providers offer a wide range of primary and specialty care services. PHC is a part of Dignity Health Central Coast's award-winning network of outstanding hospitals, imaging centers, laboratories, and post-acute services. Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. Our Mission As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values. The Referral Specialist serves as the liaison for patients and physicians while providing education to the patients regarding insurance coverage, benefits and guidelines. Works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits, ancillary testing and/or surgical procedures. Processes referrals, authorizations and pre-certifications to ensure proper patient care is met. Performs a wide range of administrative duties to include but not limited to; verification of benefits, maintain ongoing tracking; gathering appropriate documentation on referrals to promote team awareness and guarantee patient safety; contacting insurance companies to ensure prior approval requirements are met and regularly updating the patient's primary care chart, so it is up to date with information on specialist consults and communication from all inhouse and outside parties. Qualifications -1-year related experience in a healthcare environment -History in patient scheduling/registration, insurance verification and referral coordination -Strong customer service focus -Resourcefulness in problem solving -Effective verbal and written communication skills -Teamwork orientation -Organized record keeping -Able to take and follow through with delegated tasks and accountability -High School Diploma/GED Dignity Health's Pacific Central Coast Health Centers (PHC) is a non-profit Community clinic organization comprised of more than 40 health centers located primarily from Ventura to Templeton, spanning the coast. Our experienced physicians and advanced practice providers offer a wide range of primary and specialty care services. PHC is a part of Dignity Health Central Coast's award-winning network of outstanding hospitals, imaging centers, laboratories, and post-acute services. Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.