Full-Time
Referral Specialist
Posted on 11/30/2025
Cape Fear Valley Health
1,001-5,000 employees
Nonprofit regional health system operating hospitals
No salary listed
Fayetteville, NC, USA
In Person
 Administrative & Executive Assistance (1) |
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- Registered or Certified Medical Office Assistant or 2-4 years of direct referral experience in lieu of certification
- Licensed Practical Nurse background preferred
- Medical Terminology required
- 2-4 years insurance/referral experience within a hospital or medical office setting preferred
- Pass pre-employment testing and post-training testing
- Pass and maintain the Certified Healthcare Access Associate (CHAA) exam within one year of employment
- Knowledge of insurance and collection of payments
- Experience with Microsoft software
- Excellent verbal and written communication skills, customer service skills and problem solving abilities
- Ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System
- May be required to periodically rotate shifts and regular days off
- Flexibility to meet the department hours of operation
- Ability to communicate orally, see, and hear to collect information
- Dexterity to operate office equipment
- Subject to eyestrain due to hours spent looking at monitor screen
- Noise level is low to moderate
- Answers telephone calls
- Uses computer and other business machines extensively
- Bends, reaches, pushes and pulls file drawers to file records and reports
- Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds
- Maintains a working knowledge of the processes for medical administrative personnel, inclusive of comprehension of procedures for internal and external referrals; obtaining and sending protected patient information
- Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms and ensure authorization matches test(s)/specialty from referral receipt
- Validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance for service, procedure, or referral
- Obtains specialist contact information; prints orders, patient demographic, and provider letter; documents as appropriate in electronic health record (EHR)
- Determines proper referral requirements and/or limitations according to requested service, test, or procedure, to include proper identification of emergent referrals
- Pre-registers the patient for upcoming visit(s)
- Informs patient/guarantor of their liabilities, to include referral approval or denial, and documents appropriately
- Sends and/or communicates appointment confirmation to referring office, as well as calls the patient to remind of appointment date, time, location, and preparation for procedures following protocols
- Completes appropriate follow-up protocol as determined by leadership, as it relates to number of business days associated with routine and urgent referrals; initiation to completion
- Assists insurance companies, physician and physician practices, and or hospital departments with patient information in accordance with HIPAA guidelines
- Meets or exceeds accuracy standard goal determined by Patient Access Leadership
- Other duties as assigned
Cape Fear Valley Health is a not-for-profit regional health system operating 8 hospitals and related care facilities, serving more than 1 million patients each year. It provides inpatient, emergency, and specialized care across areas such as cardiology, stroke, cancer, bariatrics, rehabilitation, and behavioral health through hospitals and outpatient centers, backed by accredited programs and trauma designation. It stands out as North Carolina’s eighth-largest system with a broad regional footprint, a mix of general and specialty facilities, and multiple national accreditations, all supported by reinvestment in community health as a nonprofit. Its goal is to deliver high-quality, safe, and accessible care while improving population health through comprehensive services and strong patient-safety standards.
Company Size
1,001-5,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Fayetteville, Arkansas
Founded
1956
Simplify's Take
What believers are saying
- Dan Weatherly's 15-year tenure ensures seamless leadership transition.
- NCHA 2025 Highsmith Award validates workforce innovation efforts.
- Harnett Health rebranding unifies operations post-merger.
What critics are saying
- Novant Health's New Hanover acquisition steals talent from Elizabethtown MRI.
- Michael Tart's dual roles delay Bladen County Hospital integration.
- New medical school fails to attract faculty amid shortages.
What makes Cape Fear Valley Health unique
- Cape Fear Valley Health partners with Methodist University for new School of Medicine.
- Javara partnership expands point-of-care clinical trials in communities.
- New Elizabethtown MRI facility boosts rural diagnostic access.
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Benefits
Relocation Assistance
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Company News
Dan Weatherly named Cape Fear Valley Health CEO. Contributed Cape Fear Valley Health has named Dan Weatherly as its chief executive officer, the system announced Thursday. He was serving as interim CEO after the retirement announcement of longtime CEO Michael Nagowski. Bladen County Hospital and several community clinics in the county are part of Cape Fear Valley Health. Weatherly has been with Cape Fear Valley Health since 2011 and currently serves as president of Cape Fear Valley Medical Center. He brings more than a decade of leadership experience within the organization, including his role as chief operating officer since 2016. As CEO, Weatherly will lead one of the region's largest private, nonprofit academic health systems, which includes multiple hospitals, nearly 9,500 employees and several residency programs. He will oversee systemwide operations while continuing to guide growth, innovation and patient care across the region. "It's truly an honor to step into this role and continue serving our community," Weatherly said. "The care we provide every day is made possible by everyone involved, from our clinical to our non-clinical teams, including our physicians, nurses and CNAs, our Environmental Services staff who keep our patients' rooms clean and safe, and our Food and Nutrition Services teams who help nourish and care for our patients. I'm grateful to work alongside such a dedicated group and look forward to continuing that progress together." He began his healthcare career as a physician relations manager and quickly advanced into key leadership roles. As COO, Weatherly oversaw operations across all hospital sites, including emergency services, physician practices, surgical services, imaging, EMS and behavioral health. He also played an important role in leading the organization through the COVID-19 pandemic. Under his leadership, Cape Fear Valley Health has expanded services, strengthened partnerships and advanced its role as a regional academic health system. Weatherly said the organization will remain focused on workforce development, education and long-term sustainability. "We are investing in the future of healthcare right here in our region," he said. "From expanding our workforce pipeline to advancing our partnerships with local colleges and universities to supporting the development of a new school of medicine, we are creating opportunities that will strengthen care for generations to come." He added that maintaining strong community connections will remain central to the organization's mission. "Our commitment is simple: to continue serving this community with compassion, excellence and integrity," Weatherly said. "As we grow, we will stay grounded in what matters most - improving the health and well-being of every patient and every family we serve." Weatherly holds a bachelor's degree in marketing from the University of South Florida and a Master of Business Administration with a concentration in healthcare administration from the University of St. Francis.
Michael Tart named interim chief operating officer for CFVH. By Staff Report, posted 1 week ago Michael Tart has been named interim chief operating officer for Cape Fear Valley Health. Tart is a native of Harnett County and has been a dedicated member of the Cape Fear Valley Health family for more than 10 years. During his time with the organization, he has served in several key leadership roles, including VP of Ambulatory Services, executive director of Cape Fear Valley Medical Group and director of Finance for Ambulatory Services. Most recently, he has served as president of Cape Fear Valley Harnett Healthcare and president of Cape Fear Valley Highsmith Rainey Specialty Hospital. In each of these positions, Michael has played an important role in strengthening operations, supporting clinical teams and advancing access to care for the communities Bizfayetteville serve. Tart is known for his collaborative leadership style, strong operational insight and commitment to the health system's mission. His experience across both financial and clinical operations brings valuable perspective as he steps into this interim role. During this time, Tart will continue to serve as president of Cape Fear Valley Harnett Healthcare.
Cape Fear Valley Health CEO Nagowski to retire. Contributed - February 8, 2026 Cape Fear Valley Health chief executive officer Michael Nagowski announced Jan. 30 that he plans to retire effective July 1. Bladen County Hospital and clinics in Bladenboro, Clarkton, Dublin, Elizabethtown and White Lake are part of the Cape Fear Valley Health system. Also, under Nagowski's guidance, Cape Fear Valley Health made a $1 million investment in Bladen Community College to strengthen workforce development programs. Cape Fear Valley Health's executive committee, acting on behalf of the Board of Trustees, named Chief Operating Officer Dan Weatherly as interim chief executive officer, effective immediately, with Nagowski helping with his transition. Weatherly has served as COO since 2015 and also serves as president of Cape Fear Valley Medical Center, the system's flagship hospital. "Cape Fear Valley is a much more progressive and responsive health system under Mike's vision and leadership than it was 18 years ago," said Dan Weatherly, Chief Operating Officer and President of Cape Fear Valley Medical Center. "When a leader retires, the hope is that he leaves the organization stronger than when he arrived. The growth and progress we enjoy today are a direct result of Mike's hard work." Weatherly joined Cape Fear Valley Health in 2011 as director of outpatient operations and has more than 25 years of experience in health care leadership. Nagowski has served as CEO since 2008, guiding Cape Fear Valley Health's growth from a county hospital into a fully integrated system that now includes eight hospitals and nearly 100 care sites serving multiple counties across southeastern North Carolina. His tenure has been defined by strategic expansion, system integration and a steadfast commitment to ensuring access to high-quality care close to home. Under his leadership, Cape Fear Valley Health significantly expanded its role in medical education and workforce development. Nagowski fulfilled a long-standing commitment to establish graduate medical education programs, resulting in residency programs across several disciplines with approximately 330 physicians currently in training. Nagowski also played a key role in forming a landmark partnership with Methodist University to establish the Methodist University Cape Fear Valley Health School of Medicine. The new medical school represents a major investment in addressing physician shortages and expanding access to care for future generations. His leadership extended to major infrastructure and service enhancements designed to meet the region's growing health care needs. Nagowski oversaw the vertical expansion of Cape Fear Valley Medical Center's Valley Pavilion, adding new patient floors, 100 beds and increased hospital capacity. The project included rooftop helipads to improve emergency access and patient transport efficiency while strengthening critical care delivery. Beyond hospital operations, Nagowski championed strategic partnerships and community investments centered on education, workforce development and wellness. Along with the Bladen Community College investment, Cape Fear Valley Health made commitments to the region, including a $2 million investment in Fayetteville Technical Community College to support nursing and allied health education and a $2 million investment in Fayetteville State University to advance education and workforce initiatives. An additional $900,000 supported student health and wellness facilities at Fayetteville State University.
Cape Fear Valley Medical Center ranks 20th among 119 North Carolina hospitals, report says.
Cape Fear Valley Health has been awarded the North Carolina Healthcare Association's (NCHA's) 2025 Highsmith Award for Innovation in recognition of its visionary partnership with Methodist University to establish the planned Methodist University Cape Fear Valley Health School of Medicine.