Referral Specialist I

First Choice Community Healthcare•Albuquerque, NM

64d•Onsite

About The Position

The following statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. A. POSITION SUMMARY Under the supervision of the Health Center Manager, the Referral Specialist I is part of a team that includes other support staff members and healthcare providers. The Referral Specialist I is primarily responsible for tracking the status of provider-directed referrals, to include closing out referral tasks by obtaining and properly documenting reports resulting from referral. A Referral Specialist I may also intermittently perform additional tasks, to include scheduling appointments, verifying insurance information and otherwise assisting to ensure that provider-generated referrals for FCCH patients are performed efficiently and effectively.

Requirements

High school diploma or GED and at least one year of medical office or other related healthcare experience.
English proficiency, to include reading, writing and verbal communication
Demonstrable working proficiency using Microsoft Office applications, including Word, Excel and Outlook
Excellent organizational and time management skills
Demonstrated knowledge of medical terminology/standard medical acronyms; working knowledge of ICD-10/CPT coding
Ability to interact and communicate with others in a professional manner, in person and over the telephone and often in stressful situations
Ability to apply excellent customer service skills
Efficient, effective work ethic required in order to accomplish assigned tasks in a fast-paced office environment
Ability to work well as a collaborative member of a team
Demonstrated knowledge of patient care charts and patient medical histories
Ability to maintain calendars and schedule appointments
Appropriate knowledge of related accreditation and certification requirements
Records maintenance skills
Maintains knowledge of patient registration procedures and documentation
Ability to analyze and solve problems
Appropriate knowledge and familiarity with various compliance programs and elements. Cooperates fully and complies with applicable laws and regulations
Knowledge and familiarity with compliance program. Cooperate fully and comply with laws and regulations
CPR certification required within 6 months of hire.

Nice To Haves

Bi-lingual Spanish-speaking skills highly preferred, experience in a multiple provider setting and experience with electronic health records and healthcare practice management systems preferred.
Medical assisting skills/certification/experience is highly preferred.

Responsibilities

Maintains ongoing tracking of and appropriate documentation regarding the status of provider- directed patient referrals, to include system sufficient to report data and status to others
Helps ensure complete and accurate patient registration information, to include demographic data and current health insurance information
Communicates with patients, providers and other staff regarding the status of referrals
May contact insurance companies to confirm that prior approval requirement are met and/or to provide needed patient information(e.g., health history, diagnosis, prognosis, provider visit documentation)
May schedule patient referral appointment, to include provision and dispensation of necessary paperwork and related patient instructions
Attends and contributes to meeting as needed or required
Performs miscellaneous job-related duties as assigned

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