Referral Specialist Salary
Job Description for Referral Specialist
Referral specialists typically work in office settings within the medical field, and are responsible for ensuring that a patient's insurance allows them to access the services of the specialist's health care provider. They also handle the pre-certification of procedures which require the approval of insurance companies. They generally report to an immediate supervisor, but larger practices may employ one specialist to oversee the others. An associate's degree and/or approximately two years of work experience are generally required for the position.Read More...
Because referral specialists work with many different kinds of people, excellent written and oral communication skills are absolutely necessary. Much of their work is done on a computer, so knowledge of e-mail and basic computer programs is also important. This job often requires data entry to maintain patient files, as well.
Referral specialists must also work well under pressure (multitasking included) as they often deal with multiple patients in various stages of the approval process. They must also be familiar with medical terminology in order to communicate effectively with insurance providers.
Referral specialists generally work full-time (40 hours per week), but this may vary depending on the employer, and larger practices often employ more than one specialist. Much of their work is done on the computer and the phone, so this a largely sedentary position.
Referral Specialist Tasks
- Schedule and confirm patient diagnostic appointments, surgeries and medical consultations.
- Maintain referral records and report on data.
- Performs patient referrals and authorizations by completing and submitting documents and discussing with providers, insurance carriers and patients.
- Ensure that follow-up referral appointments and reports were kept and received.
- Prepare medical records prior to patient visit.
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Pay by Experience Level for Referral Specialist
Median of all compensation (including tips, bonus, and overtime) by years of experience.
Referral Specialists do not generally earn higher incomes from more experience in the field. The average worker who claims fewer than five years of experience earns around $30K. In contrast, however, individuals who report five to 10 years in this occupation see a much larger median of $33K. People with 10 to 20 years of experience make an average of about $34K in this role. People who have worked for more than 20 years report a median income no higher than the median for folks with 10 to 20 years of experience.
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