Patient Access & Referral Operations Supervisor

Community Health Connections•Fitchburg, MA

15h•$50,960 - $60,840•Onsite

About The Position

This role is responsible for overseeing patient access and referral operations within a busy Community Health Center. The supervisor ensures smooth coordination of patient care between providers and specialists, manages the referral process, and leads a team of referral staff. Key aspects include training, auditing, tracking appointments, and maintaining compliance with insurance carrier guidelines and HIPAA regulations.

Requirements

High School Diploma or GED
Minimum 1 year Supervisor experience
Minimum 3 years related Referral experience
Experience in appointment scheduling.
Knowledge of referral process in the Medical office (experience may be substituted for formal training)
Basic computer skills required.
Good interpersonal skills and ability to work and foster Team environment is required.
Maintains member confidentiality.
Be aware of the organization’s protocols and adhere to their requirements, included but not limited to those addressing HIP AA compliance.
Demonstrates understanding and commitment to the health center mission.
Demonstrates understanding and commitment to the established CHC Values & Standards.

Nice To Haves

Certification in Medical Receptionist or Medical Secretary preferred.

Responsibilities

Assure coordination of patient care between CHC provider and specialist by obtaining, verifying, and providing required information to appropriate parties.
Develop training for current and new referral staff.
Audit all specialist/diagnostic appointments booked to ensure they are done correctly.
Track all booked appointments.
Support operations by assisting staff with internal and external communication, and by maintaining necessary document flow.
Assure that the process of referrals meets the specific guidelines of all contracted insurance carriers in the appropriate time frame.
Enter and update information into the medical computer systems, and maintain a file of all pending referrals.
Institute a referral tracking process, allowing all clinical support staff to view that information for patients or insurance carriers.
Document all changes in health coverage for CHC patients, and initiate phone/computer contact to other outside agencies for eligibility, identification, and authorization.
Arrange appointments, notify member and/or family of appointment date and any special instructions regarding their appointment.
Conduct the training of new/additional staff in the referral processes.
Maintain a safe and clean working area at all times.
Use good time management skills.
Contribute to the “Team Concept”.
Actively participate in staff meetings and work toward accomplishing department goals and objectives.
Ability to work well with others, accomplishing expected results.
Report to work at the appointed time, adhering to policies and procedures regarding attendance.
Display a positive attitude toward all department providers, supervisors and staff members.
Maintain member confidentiality.
Be aware of the organization’s protocols and adhere to their requirements, included but not limited to those addressing HIP AA compliance.
Demonstrate understanding and commitment to the health center mission.
Demonstrate understanding and commitment to the established CHC Values & Standards.
Perform other duties as assigned.