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LifeBridge Health

REFERRAL SPECIALIST-PPO

LifeBridge Health, Frederick, Maryland, United States, 21701

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REFERRAL SPECIALIST-PPO Join to apply for the

REFERRAL SPECIALIST-PPO

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LifeBridge Health . 2 days ago. Be among the first 25 applicants.

About LifeBridge Health LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.

Job Summary

Prepares and initiates referrals.

Obtains and tracks authorizations.

Follows up on outstanding referrals.

Verifies patient coverage for specific benefits.

Answers incoming calls regarding referrals.

Completes referrals initiated by the primary care physician in a timely and accurate manner; encloses any pertinent information from the patient's chart and contacts patient when referral is complete.

Obtains authorizations for scheduled procedures and admissions; assures compliance and coordinates with managed care payors.

Maintains, prioritizes and monitors workflow to ensure authorizations and referrals are completed in a timely and accurate manner.

Tracks and ages referrals; follows up on those outstanding with the appropriate person.

Completes and submits accurate monthly statistical reports.

Provides specialist information to the patient to allow them to make their own appointment according to availability.

Requirements

Formal working knowledge equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field.

1–3 years of experience.

Benefits

Impact: Join a team that values innovation and outcomes, delivering life‑saving care to our youngest and most vulnerable patients.

Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification.

Support: A culture of collaboration with resources like unit‑based practice councils and advanced clinical education support – improving workflow efficiency and patient outcomes and allowing you to work at the top of your license.

Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on the job), comprehensive health plans, free parking, and wellness programs.

Employment Details

Seniority level: Entry level

Employment type: Full‑time

Job function: Health Care Provider

Industries: Hospitals and Health Care

Location: Frederick, MD

LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.

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