The Referral Specialist at UCHealth ensures compliance with managed care, commercial insurance, and public insurance requirements by submitting and tracking referrals. This role is crucial for efficient patient flow and service excellence, involving verifying eligibility and benefits, obtaining authorizations for treatment, tracking formulary requirements, and maintaining information on health plan guidelines. The position requires critical thinking, decisive judgment, and the ability to work with minimal supervision in a fast-paced environment.

Referral Specialist

The Referral and Resource Specialist at Elevance Health will be responsible for screening, assessing, training, and providing telephonic intervention/de-escalation for helpline callers using established protocols to determine an immediate course of action. This role operates 24 hours a day, 7 days a week, 365 days a year and requires a deep understanding of the factors that impact a person's experiences in the mental health system. Training is provided Monday-Friday 10am-6pm EST.

Referral and Resource Specialist

The Crisis & Referral Specialist at Elevance Health will be responsible for screening, assessing, training, and providing telephonic intervention/de-escalation for helpline callers using established protocols to determine an immediate course of action. This role operates 24 hours a day, 7 days a week, 365 days out of the year, including varied shifts to include weekends. Training is Monday-Friday 10a-6p EST. The position involves working on the New Hampshire Rapid Response Access Point Crisis Line, handling inbound calls, texts, and chats from individuals in crisis, performing safety screenings and assessments, and coordinating with other agencies to ensure optimal use of resources and services.

Crisis & Referral Specialist

The Credentialing Specialist role involves three main parts or phases of a project, including CACTUS Implementation, Core Functions: Initial Credentialing and Re-Credentialing, and Pre-Delegation Audit. Responsibilities include reviewing credentialing spreadsheets, assisting with implementation tasks in Visual Cactus, entering data into spreadsheets and Visual Cactus, processing credentialing files, and performing Pre-Delegation Audits. This is a fully remote, contract position with a duration of 6 months.

REMOTE Credentialing Specialist (Visual Cactus)

Credentialing Specialist

Guidant Financial is seeking a Client Relations Specialist for a fully remote, permanent position. This role involves coordinating client communications, department workflows, and processing responsibilities within the Bookkeeping and Tax Services department. The ideal candidate will lead communication processes with clients, manage client escalations, guide clients through product changes, and deliver high-quality bookkeeping and tax services. This position requires a bachelor's degree or equivalent experience, proficiency in QuickBooks Online, and at least 3 years of progressive bookkeeping experience in a multi-client environment.

Bookkeeping Relations Specialist

Client Relations Specialist

The Clinical Referral Specialist RN at Sutter Health acts as the in-office clinical liaison, representing the agency via telephone to receive and process referrals for patient care within the regional home health referral management team. This role involves working closely with various referral sources, including hospitals, physicians, and care facilities, to ensure timely and consistent admissions. The position includes entering referral information into the Electronic Medical Records (EMR), creating initial orders for patient care, and requires frequent interaction with referral sources, agency staff, and healthcare professionals across offices.

Clinical Referral Specialist RN  (Arizona, Idaho & Utah Applicants Only)

Clinical Referral Specialist RN

The Crisis & Referral Specialist Senior at Elevance Health is responsible for screening, assessing, training, and providing telephonic intervention/de-escalation for helpline callers to determine an immediate course of action. This role involves taking inbound calls, texts, and chats from individuals needing support, performing safety screenings and assessments, developing plans of action, and coordinating with other agencies to ensure optimal use of resources and services. The position is fully remote but ideally located within 50 miles of an Elevance Health PulsePoint office.

Crisis & Referral Specialist Senior

As a Sourcing Specialist, you will handle quotes and proposal analysis, vendor contract reviews, and track and manage contract and subscription renewals. This role involves partnering with internal stakeholders, performing data analysis, leading self-research, and negotiating with vendors and internal stakeholders. The position is fully remote and can be based anywhere in the US, offering flexibility on start time and an 8-hour shift.

Sourcing Specialist

The Referral Coordinator at USGP is responsible for coordinating, monitoring, and tracking healthcare referrals for a diverse beneficiary population, including Active Duty, Tricare Prime, Tricare Standard, Tricare for Life, and Tricare Plus, VA-eligible, and MEDICARE. This role involves assisting physicians with documentation, serving as an intermediary between BAMC physicians, patients, and outside health care agencies, and ensuring the administrative completeness of referrals. The position requires attendance at meetings, participation in professional staff conferences, and maintaining patient privacy and confidentiality.

Referral Clerk - Referral Coordinators

Referral Coordinator

The Credentialing Specialist at Houston Methodist is responsible for processing applications for appointment and reappointment to the Medical Staff, maintaining accurate practitioner demographic, licensure, and privileging information, and ensuring compliance with accreditation, bylaws, and regulations standards. This role involves data entry, verification, and organization of applications, as well as handling complex problems and issues, promoting a positive work environment, and participating in department projects and activities.

Credentialing Specialist - 100% Remote (Must Live within Greater Houston)

The Credentialing Specialist at UNC Health Care is responsible for coordinating and processing applications for credentialing and recredentialing of practitioners to UNC Hospitals Medical Staff and Allied Health Professional Staff, in compliance with JCAHO, NCQA, and other regulatory standards. This role involves a wide range of tasks including maintaining practitioner data, assisting with onsite audits, and providing leadership and guidance to co-workers. The position requires a bachelor's degree or equivalent combination of education, training, and experience.

Credentialing Specialist - Centralized Credentialing

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