Referral Specialist at Vivent Health

Glendale, Colorado, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Aug, 26

Salary

27.0

Posted On

30 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Referral Management, Healthcare Coordination, Insurance Authorization, Electronic Health Records (EHR), Medical Terminology, Customer Service, Organizational Skills, Time Management, HIPAA Compliance, Inter-disciplinary Collaboration, Microsoft Office Suite, Patient Communication

Industry

Hospitals and Health Care

Description

***This role will be a Hybrid role working out of our Denver, CO, Chicago, IL, or Metro Detroit, MI offices*** If you are currently employed at Vivent Health, please log into UKG and submit your application through the My Company/View Opportunities page. Get ready for something amazing! Imagine this: generous paid time off, including 12 paid holidays. And that’s just the start of the incredible perks you’ll enjoy at Vivent Health. There is 401k with 100% employer match up to 5%, 12 weeks of fully paid parental leave, employer subsidized medical, dental, vision benefits, and gender-affirming care benefits. And that's not even scratching the surface. Our complete package also includes employer paid short and long-term disability, tuition reimbursement, certification, and licensure assistance, and so much more. We also offer benefits for part-time roles! But here's the real deal. Your journey with Vivent Health isn't just a job. It's a chance to join an organization dedicated to fostering a workforce that reflects diverse backgrounds, perspectives, and experiences. This makes you a part of something bigger and enables you to have a meaningful impact in our communities and the lives of the amazing patients we serve. Here are a few highlights of what working at Vivent Health may offer you: * Equity Practices: Fair treatment, access, and opportunities for all employees, creating an environment where everyone feels valued, respected, and empowered to contribute. * Professional Growth: Opportunities for professional development and advancement, along with training programs and events that promote cultural competence, unconscious bias training, and awareness. * Collaboration on an inter-disciplinary team: Within our integrated HIV care and prevention model, we employ a high level of collaboration across disciplines. That means that, in your role, you will have the opportunity to be exposed to whole person-care across medical, behavioral health, pharmaceutical, research, and more! * Delivery of quality patient care: Our integrated HIV care and prevention model is proven to help patients achieve positive health outcomes. YOUR CONTRIBUTION: Deliver Excellence. Oversee with Integrity. Drive Progress. Exceed Expectations. The Referral Specialist is responsible for managing patient referrals to ensure timely and efficient access to appropriate healthcare services. This role involves coordinating with healthcare providers, maintaining accurate referral records, and providing excellent customer service to patients. The Referral Specialist plays a crucial part in facilitating patient care and ensuring smooth communication between all parties involved. OUR EXPECTATIONS: Winning skills and behaviors for success. * Process and manage patient referrals to and from healthcare professionals (including medical, dental and behavioral health) to specialists and other service providers. * Communicate with patients to inform them of referral details, appointment schedules, and any necessary preparations. * Act as a liaison between Vivent Health and external healthcare providers to ensure timely and accurate exchange of referral information. * Maintain accurate and up-to-date records of all referrals, including patient information, appointment dates, and follow-up actions. * Obtain necessary authorizations from insurance companies and ensure all referrals comply with insurance requirements. * Coordinate and schedule appointments for patients with specialists and other healthcare services. * Monitor the status of referrals and follow up with patients and providers to ensure completion of referred services. * Address and resolve any issues or delays in the referral process, escalating concerns to appropriate personnel as needed. * Input and update patient referral information into electronic health records (EHR) and other relevant systems accurately. * Other duties as assigned. * Adhere to all agency policies, including Confidentiality, Employee Handbook, Health Care Corporate Compliance Plan, Standards of Conduct, and other relevant policies. NOTE: Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. KNOWLEDGE REQUIRED: Required and preferred knowledge and experiences to succeed. * Education: * High school diploma or equivalent is required. * Associate degree in healthcare administration, medical assisting, or a related field is preferred * Work Experience: * Minimum of 2 years of experience in a healthcare setting, preferably in a referral coordination or administrative role. * Technical Experience: * Proficient in Microsoft Suite. * Experience with electronic health records (EHR) systems and medical terminology is highly desirable. * Soft Skills: * Excellent verbal and written communication skills to effectively interact with patients, providers, and healthcare team members. * Strong customer service skills with a patient-centered approach and the ability to handle inquiries and concerns professionally. * Exceptional organizational skills to manage multiple referrals and tasks simultaneously and maintain accurate records. * High attention to detail to ensure accuracy in referral processing and documentation. * Ability to identify issues in the referral process and implement solutions effectively and efficiently. * Strong time management skills to prioritize tasks and ensure timely completion of referrals and follow-ups. * Ability to work collaboratively with healthcare providers, administrative staff, and external partners to facilitate patient care. * Flexibility to adapt to changing referral processes, policies, and healthcare environments. * Compassion and empathy when dealing with patients and their families, ensuring a supportive and understanding approach. * Strong understanding of and commitment to maintaining patient confidentiality and complying with HIPAA regulations Additional Preferred Qualifications: * HIV experience in a not-for-profit environment. STATEMENT OF INCLUSION: Vivent Health is an equal opportunity employer and will recruit, hire, promote, and transfer qualified persons into all job classifications regardless of race, gender, religion, skin color, national origin or ancestry, physical disability (including pregnancy), mental disability, age, gender identity, sexual orientation, legally protected medical condition, family care status, marital status, veteran status, genetic characteristics, or any other characteristic protected by federal or state law. Vivent Health complies with other expanded protected classifications that specific county or municipal regulations may mandate. Vivent Health is deeply committed to fostering respect, dignity, and understanding for all individuals affected by HIV, regardless of race, ethnicity, sexual orientation, gender identity, socioeconomic status, or any other characteristic. We are dedicated to cultivating a supportive and inclusive environment that champions advocacy, education, and compassionate care for everyone in our diverse community.  Going beyond the law’s requirements, Vivent Health places great importance on fostering a culture that celebrates diversity, equity, inclusion, and belonging. We actively seek qualified candidates from different racial, cultural, and economic backgrounds, as we believe that differing perspectives and experiences make us stronger as an organization. Vivent Health encourages all interested persons to apply for this position, and we look forward to learning more about your unique background and qualifications. As a recipient of federal funding, Vivent Health will not hire nor enter a contractual relationship with any party debarred, suspended, or excluded from federal assistance programs. Pay Rate: $24.00/hourly - $27/hourly (Depending on Experience) The final salary will be determined based on factors such as market data, internal equity, candidate experience and qualifications. Please note that it is uncommon for an individual to be hired at or near the top of the range. Public Student Loan Forgiveness Employment at our organization may qualify you for federal student loan forgiveness programs. We do not directly pay for – nor forgive – federal student loans; however, our status as a not-for-profit organization under Section 501 (c) (3), makes us an eligible employer. There may be other determining factors for one to qualify. Please follow this URL to review one such program and their requirements: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service [https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service]

Responsibilities

Manage patient referrals to ensure timely access to healthcare services by coordinating between providers and maintaining accurate records. Act as a liaison to facilitate communication and obtain necessary insurance authorizations for patient care.