Referral Specialist | DIS
Meritus Medical Center
Hagerstown, MD
Full Time
Unknown
Administrative/Clerical
Salary
$18 – $25
/ hourly
Job Details
Job Type
Full Time
Hours / Week
80.0
Work Setting
Unknown
Location
Hagerstown, MD
Compensation
Minimum Salary
$18
Maximum Salary
$25
Pay Type
hourly
Job Description
Referral Specialist - Diagnostic Imaging Services Schedule: Full-Time | Monday-Friday, 8:00 AM-4:30 PM Location: Diagnostic Imaging Services, Meritus Health ### Position Summary Under the general direction of the Practice Supervisor/Manager, the Referral Specialist serves as a key resource for coordinating authorized patient referrals to specialists, diagnostic procedures, and surgical services. This role ensures timely access to care by securing necessary pre-authorizations and guiding patients to appropriate providers based on insurance requirements. In some units, the Referral Specialist also verifies insurance coverage and benefits to support accurate billing and payment. ### Key Responsibilities * Arrange and schedule patient referrals in alignment with insurance guidelines and clinical needs * Obtain pre-authorization approvals for referrals, procedures, and surgeries * Refer patients to authorized providers based on insurance plan requirements * Verify insurance coverage, benefits, deductibles, and referral criteria as needed * Communicate with insurance companies to secure approvals and ensure proper payment * Maintain accurate documentation and follow up on pending authorizations * Collaborate with clinical and administrative teams to support seamless care coordination * Demonstrate professionalism, discretion, and a commitment to patient-centered service ### Minimum Qualifications Education * High school diploma required; completion of commercial or business coursework preferred Experience * Previous experience as a referral specialist preferred Licensure/Certification * BLS (CPR) certification preferred, in compliance with Meritus Health policy Knowledge, Skills, and Abilities * Strong organizational and communication skills * Ability to manage multiple tasks and prioritize effectively * Familiarity with insurance processes and patient scheduling systems preferred * Commitment to accuracy, confidentiality, and compassionate service Caring for Our Team ** We are committed to supporting the well-being and professional development of our team members through a comprehensive benefits package, which includes: * Health, Dental, and Vision Insurance Coverage begins on the first of the month following your hire date. * Life Insurance & Disability Coverage Includes company-paid life insurance , as well as short- and long-term disability benefits to provide peace of mind. * Paid Time Off (PTO) A generous PTO program designed to help you recharge and maintain a healthy work-life balance. * 401(k) Retirement Plan Benefit from a robust company match to support your long-term financial goals. * Education Assistance & Tuition Reimbursement Support for your continued learning and career growth. * Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) Options to save pre-tax dollars for eligible healthcare and dependent care expenses. * Shift Differential Pay Team members working evening, night, or weekend shifts may be eligible for additional pay. Happy to Help** At Meritus, we believe in a collaborative and caring work environment. Interactions are an opportunity to learn, listen and to be there for one another. Therefore, we provide warm welcomes, hospitality-driven closures, and are always Happy to Help.
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Job Source
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