Patient Access Center - Referral Specialist

Community Health Centers of the Rutland Region • Rutland Town, VT

1d • $18 - $27 • Onsite

About The Position

A Referrals Specialist manages the end-to-end processing of patient Referrals, Orders and Diagnostic. Our team acts as a liaison between primary care providers, patients, facilities, specialist offices and insurance companies as needed. This fast-paced department is committed to ensuring timely, authorized and documented care. Team members should be able to work independently when needed and be able to prioritize diverse responsibilities.

Requirements

• High school diploma or equivalent
• Knowledge of medical billing/coding
• Skills in using electronic medical record system
• Proficient computer skills
• Strong customer service skills
• Skill identifying problems and recommending solutions
• Ability to communicate clearly

Nice To Haves

• Associates Degree preferred
• Three years of experience preferred as a referral specialist or similar experience in a healthcare role

Responsibilities

• Act as the primary point of contact between patients, providers and specialist offices for questions and information requests, providing effective and professional communication with efficient and comprehensive documentation.
• Compile and review supporting documentation needed to support referrals, provide accurate information and follow refer-to-facility protocols to ensure comprehensive and timely processing.
• Process diagnostic imaging orders in a timely manner, verify insurance information, and ensure required documentation is complete. Act as the primary liaison between the referring provider, insurance companies and radiology facility to resolve questions, issues and delays.
• Verify patient insurance coverage and obtain necessary pre-authorizations or pre-certifications for referrals, orders and diagnostic testing. Accurately record and relay authorizations to facilities.
• Utilize Electronic Health Records (EHR) to track referrals, ensuring patient charts are updated with appointment information and consultant reports ("closing the loop").
• Maintain appropriate reports according to CHCRR policy, state and federal requirements.

Benefits

• Work Life Balance
• Generous Time Off
• Medical, dental, and vision insurance
• Health savings account option
• Robust 403 (b) retirement savings plan, with employer match and 100% vesting schedule
• Comprehensive Wellness Program

What This Job Offers

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