OPS - Referral Specialist

Community Clinic•Gaithersburg, MD

11d•Onsite

About The Position

The Referral Specialist will be responsible for processing referrals for patients to seek medical treatment outside of CCI Health Services. As a member of the health center’s integrated care team, the Referral Specialist will fulfill the following KEY FUNCTIONS AND RESPONSIBILITIES towards the provision of patient-centered, coordinated patient care.

Requirements

Requires experience and demonstrated abilities for working in a multi-cultural setting.
Knowledge of some medical terminology.
Ability to collaborate and interact with a diverse group of health care professionals.
Ability to initiate and maintain a working relationship.
Have understanding and knowledge of population and community of service area.
Good community skills: able to listen well, use language appropriately, and able to communicate in writing.
Excellent customer service skills.
Current CPR certification.

Nice To Haves

Bilingual in Spanish and English preferred.

Responsibilities

Prepares and processes all managed care referral paperwork.
Schedules appointments for specialists when needed.
Prepares pertinent information from referring providers to complete referrals.
Contacts various offices/facilities to obtain the necessary information to accurately complete referral requests.
Maintains referral records and files documentation.
Process Infant and Toddlers and Child Find programs.
Assist with check-out and follow-up appointments with PCP.
Scan documents into the patient chart.
Process Breast and Cervical Cancer Diagnosis and Treatment program referrals.
Learn and process Catholic Charities/Project Access referrals.
Process insurances referrals pre-authorization.
Run and follow up with i2i reports.
Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Assists patients to fill out applications for specialty programs.
Obtain pre-authorizations for specialist visits/imaging when necessary.