Talent.com
Specialty Referrals Specialist I (Bilingual English/Spanish)
Specialty Referrals Specialist I (Bilingual English/Spanish)Urban Health Plan • Bronx, NY, United States
Specialty Referrals Specialist I (Bilingual English / Spanish)

Specialty Referrals Specialist I (Bilingual English / Spanish)

Urban Health Plan • Bronx, NY, United States
18 days ago
Job type
  • Full-time
Job description

Position Summary :

The Specialty Referrals Specialist I is a position that specializes in patient information management for Urban Health Plan. Candidates must be familiar with medical terminology and processes related to insurance verification.

This position is based out of the Bronx with a hybrid model and requires a full-time commitment from Monday to Friday 8 : 00 am to 5 : 00 pm. Candidate will train onsite then transition hybrid, working three days onsite and two days from home. The initial first few months of training are fully onsite.

Minimum Qualifications

  • High School Diploma required
  • 1 year of related experience in health care field with understanding of medical terminology and coding required.
  • Comfortability working in an environment with high volume of calls.
  • Bilingual Spanish / English required.
  • Certified in ICD-10 Coding, a plus.
  • Microsoft Office Proficient

Key Duties :

  • Inputs high volume of patient information and ancillary referrals for appointments via phone and fax.
  • Reviews patient information for type of specialty, referral reason, ICD-10 diagnosis, medications, etc.
  • Seeks prior authorization from patient insurance carriers.
  • Responds in a timely manner to patient and departmental requests for information.
  • Ensures ongoing compliance with confidentiality standards.
  • Contacts external specialists and makes appointments for the patient if patient has not obtained one prior to completion of UHP specialty visit.
  • Seeks reports for procedures performed outside of UHP that have been generated by the Specialty Department and processed by the associate prior to patients upcoming follow up appointment with UHP Specialty Department.
  • Compensation : $19.50 / hour

    About Urban Health Plan :

    At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, more than 50 years ago. That tradition continues today by promoting excellence in everything that we do.

    Benefits Include :

  • Fully funded Health Insurance for yourself
  • 73.5% funded Health Insurance for your family
  • Dental Insurance
  • $50,000 term life Insurance
  • 401(k) Retirement Savings (including annual UHP Contribution)
  • Comprehensive time off including paid vacation, personal time, sick time, and paid holidays (including your birthday!).
  • UHP is an equal opportunity employer. M / F / D / V. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, gender identity, gender expression, national origin / ancestry, citizenship status, disability, age, marital or family status, and military or veteran status.

    Job Requirements

    Create a job alert for this search

    Referral Specialist • Bronx, NY, United States

    Related jobs
    Bilingual Patient Service Associate - Remote

    Bilingual Patient Service Associate - Remote

    Akumin • Bronx, NY, US
    Remote
    Full-time
    Radiology appointments and makes outgoing calls to patients and physicians.The majority of time will be spent handling scheduling and pre-registration calls based on business needs.Follows standard...Show more
    Last updated: 19 days ago • Promoted
    IT Specialist

    IT Specialist

    Texas State Library and Archives Commision • West Haverstraw, NY, United States
    Full-time
    Helen Hayes Hospital is responsible for ensuring fully functional information technology systems to maintain compliance with statutory mandates and address day-to-day functions.Helen Hayes Hospital...Show more
    Last updated: 15 days ago • Promoted
    Referral Specialist

    Referral Specialist

    City of New York • New York, NY, United States
    Permanent
    ONLY PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE CLERICAL ASSOCIATE CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. The Bureau of Early Intervention is a comprehensive interagency...Show more
    Last updated: 18 days ago • Promoted
    Referral Specialist

    Referral Specialist

    Catholic Charities Community Services • Yonkers, NY, United States
    Full-time
    The Catholic Charities Community Services (CCCS) Helpline is one of its most critical resources for client referrals.The EPGP Referral Specialist will work specifically with referrals that need ass...Show more
    Last updated: 18 days ago • Promoted
    Credentialing Specialist

    Credentialing Specialist

    ProKatchers LLC • New York, NY, United States
    Temporary
    Responsible for all aspects of provider credentialing and re-credentialing.Healthcare Field Experience- Required.License Renewals : Ensures that physician licenses are renewed prior to expiration.Pr...Show more
    Last updated: 6 days ago • Promoted
    Remote Bilingual Call Center Representative | Spanish-English

    Remote Bilingual Call Center Representative | Spanish-English

    Valor VIP • Bronx, NY, US
    Remote
    Full-time
    MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on...Show more
    Last updated: 23 days ago • Promoted
    Compliance Specialist

    Compliance Specialist

    Lago • Bronx, NY, US
    Full-time
    Location : Remote | Latin America.Schedule : 9AM-5PM Eastern Time Zone.Salary : Open to negotiation based on experience.The Compliance Specialist works under direct supervision and follows company and...Show more
    Last updated: 21 days ago • Promoted
    Patient Service Representative (Spanish Bilingual) | Permanent WFH

    Patient Service Representative (Spanish Bilingual) | Permanent WFH

    BizForce • Bronx, NY, US
    Remote
    Permanent
    Patient Service Representative (Spanish Bilingual).We are looking for a detail-oriented and compassionate Patient Service Representative (Spanish Bilingual) to join our growing healthcare team.This...Show more
    Last updated: 22 days ago • Promoted
    Bilingual Customer Support Specialist

    Bilingual Customer Support Specialist

    VirtualVocations • Yonkers, New York, United States
    Full-time
    A company is looking for a Supplier Success Professional (Customer Support) - Bilingual French / English.Key Responsibilities Provide professional support to all customers and assist them in naviga...Show more
    Last updated: 30+ days ago • Promoted
    Wealth Management Associate / Analyst : Bilingual Spanish / English

    Wealth Management Associate / Analyst : Bilingual Spanish / English

    Morgan Stanley • New York, NY, US
    Full-time
    Wealth Management Associates provide exceptional service to our clients and support Financial Advisor(s) / Private Wealth Advisor(s) / teams on a daily basis. As senior members of the service team, thro...Show more
    Last updated: 30+ days ago • Promoted
    Specialist, Market Growth & Retention - Bilingual Spanish Required (Remote in New York)

    Specialist, Market Growth & Retention - Bilingual Spanish Required (Remote in New York)

    Remote Staffing • Yonkers, NY, US
    Remote
    Full-time
    Provide prospective and existing members with assistance completing state required applications for the purpose of obtaining and maintaining healthcare coverage, and accurate information for eligib...Show more
    Last updated: 8 hours ago • Promoted • New!
    Nurse Practitioner Bilingual English & Spanish

    Nurse Practitioner Bilingual English & Spanish

    Nirvana Healthcare • New Windsor, NY, United States
    Full-time +1
    About the job Nurse Practitioner Bilingual English & Spanish.Nurse Practitioner or Physician Assistant Bilingual English & Spanish - Pediatrics. We are looking for a Nurse Practitioner or a Physicia...Show more
    Last updated: 30+ days ago • Promoted
    Referrals Specialist II - Hybrid- Bilingual English / Spanish

    Referrals Specialist II - Hybrid- Bilingual English / Spanish

    Urban Health Plan • Bronx, NY, United States
    Full-time
    Candidates must be familiar with medical terminology and processes related to insurance verification.This position is based out of the Bronx and requires a full-time commitment from Tuesday to Satu...Show more
    Last updated: 18 days ago • Promoted
    Spanish Bilingual Intake Counselor

    Spanish Bilingual Intake Counselor

    Samaritan Daytop Village, Inc. • Bronx, NY, United States
    Full-time
    Spanish Bilingual Intake Counselor.Healthcare staff can work anywhere.A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater ...Show more
    Last updated: 4 days ago • Promoted
    Credentialing Specialist

    Credentialing Specialist

    Pride Health • New York, NY, United States
    Full-time
    The Credentialing Specialist is responsible for coordinating and managing all aspects of provider credentialing and re-credentialing activities. This role ensures that all medical staff, allied heal...Show more
    Last updated: 6 days ago • Promoted
    Bilingual Patient Intake Coordinator (Spanish / English)

    Bilingual Patient Intake Coordinator (Spanish / English)

    Centers Health Care • New York, NY, United States
    Full-time
    We are currently seeking a dedicated and.As a Patient Intake Coordinator, you will play a crucial role in facilitating the enrollment process for individuals seeking home care services.Explain prog...Show more
    Last updated: 14 days ago • Promoted
    Bilingual Payroll Specialist (French / English) - Americas

    Bilingual Payroll Specialist (French / English) - Americas

    Verisk • Jersey City, NJ, US
    Full-time
    Are you an experienced payroll professional looking for a rewarding opportunity to make a significant impact within a dynamic and collaborative team? We are seeking a detail-oriented Payroll Specia...Show more
    Last updated: 8 days ago • Promoted
    Customer Experience Specialist - BILINGUAL SPANISH

    Customer Experience Specialist - BILINGUAL SPANISH

    Metropolitan Jewish Health System • New York, NY, United States
    Full-time
    Our Corporate team may not provide direct care, but we still touch people's lives in a very real and substantial way.The services we provide contribute greatly to the overall patient and member exp...Show more
    Last updated: 30+ days ago • Promoted