Referral Specialist | DIS

Meritus Health•Hagerstown, MD

9h•$18 - $25•Onsite

About The Position

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.

Requirements

High school diploma required
Strong organizational and communication skills
Ability to manage multiple tasks and prioritize effectively
Commitment to accuracy, confidentiality, and compassionate service

Nice To Haves

Completion of commercial or business coursework preferred
Previous experience as a referral specialist preferred
BLS (CPR) certification preferred, in compliance with Meritus Health policy
Familiarity with insurance processes and patient scheduling systems preferred

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