What are the responsibilities and job description for the Referral Specialist position at Opportunities?
Are you a motivated individual with a keen ability to follow through on tasks big and small? Do you have medical office experience? PCHC is looking for Referral Specialists to join our dynamic and growing team! As a Referral Specialist, you’ll provide a comprehensive referral experience to our patients, playing a vital role in connecting them to the care and outside services they need. We’re looking for someone who is resourceful, detail-oriented, has excellent follow-through skills, and who is ready to make a difference. Sound like you? Apply today!
What’s it like to work at PCHC? Find out: https://www.youtube.com/watch?v=GyC3DFYq0zg
Schedule: Full-Time, Monday-Friday, 8:30am-5pm (Remote work possible after successful completion of 6 month training period and productivity assessment in Bangor, Maine. Candidate must be eligible per PCHC's Telecommuting Policy.)
Highlights of the position:
- Provides excellent customer service to our patients, staff, and external customers by demonstrating friendliness, helpfulness, and proficiency.
- Accurately and efficiently processes referral and prior authorization requests of all kinds. Verifies insurance benefits to ensure services are covered.
- Liaisons and acts as point of contact with outside specialty offices regarding referrals.
- Properly scans, imports, and processes patient health information related to referrals, ensuring all work is appropriate, compliant, and all protected information redacted.
- Is a good steward of health information management. Understands and follows applicable HIPAA laws and regulations and PCHC medical records policies.
- Assists in maintaining compliance with quality assurance standards.
- Engages and supports patients to ensure they feel heard, respected, and involved in their care and experience.
- Collaborates with HIM teams and clinics to improve the patient experience and referrals processes.
Join PCHC's nationally recognized non-profit organization:
- Federally Qualified Health Center offering integrated Medical Home Model
- Collegial professional atmosphere with informed leadership
- Flexible schedules supportive of work/life balance
- Competitive compensation and generous benefits
- PCHC cares for the WHOLE person, offering a broad range of services, including Psychiatry & Mental Health, Dental, Family Medicine, Pediatrics, Pharmacy, Geriatrics, Lab & X-Ray, Physical Therapy and Podiatry all within one organization.
EDUCATION AND EXPERIENCE:
- High school diploma or equivalent required.
- Associates in Medical Office Technology, Health Information Management or other relative post-secondary degree is preferred.
- Experience and proficiency using computer programs and software required.
- At least one year of experience in a customer service setting required
- Two years of experience in a healthcare office setting strongly preferred.
- Completion of a Medical Terminology I course preferred.
Curious, or interested to learn more? Apply today! You can request a full copy of the detailed job description by emailing recruitment@pchc.com.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or any other characteristic protected by law.
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