Referral Network Assoc

CommWell • Four Oaks, NC

2d

About The Position

Make a Difference Where It Matters Most Join a team that’s been providing compassionate, patient-centered care to rural North Carolina communities for 50 years. At CommWell Health, you won’t just care for patients, you’ll empower families, change lives, and be part of a mission-driven team that believes everyone deserves quality healthcare, close to home.

Requirements

• High School diploma or GED
• Minimum of one (1) year experience in working with public programs.

Nice To Haves

• Bilingual Preferred
• Associates degree in Secretarial Science or Human Services field.
• Knowledge of medical terminology.

Responsibilities

• Ensure patient consent to release medical records is available and up to date prior to exchanging health information.
• Ensure all demographic information, required to complete each referral, is available prior to beginning the referral process.
• Contacts insurance companies to ensure prior approval requirements are met.
• Processes all referral-required prior authorizations (list of common referrals requiring a PA).
• Attempts to contact the patient to determine patient preferences and availability.
• Schedules referral appointments (Accommodating individual patient preferences and availability).
• Ensures timely delivery of appropriate clinical and demographic information to specialists.
• Maintains continuous tracking and documentation of referrals promoting team awareness and patient safety.
• Reviews details and expectations regarding referral with patient and/or family/caregiver.
• Reminds patient/family/caregiver of scheduled appointments.
• Provide excellent customer service skills.
• Assist with filling mamo schedules and preparing proper documentation for REX/Novant.
• Works to close the loop by faxing and calling to get notes from specialist returned on a daily basis.
• Maintains Specialty Referral Resource database and ensure up to date in Excel in order for IT to submit ticket to HCN for updates.
• Other duties as assigned.

Benefits

• Medical, Dental & Vision Insurance – Affordable plans with options that meet your family’s needs
• 401(k) with Matching – Invest in your future with confidence
• Generous PTO – Enjoy time off with paid holidays, emergency leave, and vacation accruals
• Employee Assistance Program (EAP) – Support for your mental, emotional, and financial wellness
• Career Growth – On-the-job training, certification support, and advancement opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED