Referral Specialist

Greater Portland Health • South Portland, ME

4d • Onsite

About The Position

The Referrals Specialist is responsible for processing, scheduling, and tracking referrals to specialists; provides patients with proper documentation of date, time, and any necessary preparations for scheduled tests and referrals. This position tracks all scheduled services through to completion and processes insurance referrals and prior authorizations for visits with specialty offices.

Requirements

• Level 3 English required
• Experience in coordination of care, case management, or medical referrals required
• Knowledge of community resources
• Knowledge of medical office procedures and terminology
• Knowledge of basic arithmetic to make calculations, balance and reconcile figures, and make changes accurately
• Knowledge of Medicare, Medicaid, managed care, HMO, band private insurers
• Knowledge of CPT (procedures code) and ICD-10 codes

Nice To Haves

• Associate degree preferred

Responsibilities

• Processing, scheduling, and tracking referrals to specialists
• Providing patients with proper documentation of date, time, and any necessary preparations for scheduled tests and referrals
• Tracking all scheduled services through to completion
• Processing insurance referrals and prior authorizations for visits with specialty offices

Benefits

• Organization-wide incentive bonus of up to 5% of annual base salary
• Dental, Vision Insurance (Employer – Employee shared)
• Flexible Spending Accounts
• Employer paid Life insurance, Short-term and Long-term Disability
• 403(b) employer match up to 3%
• Generous PTO package, including paid time off, personal days, 9 holidays, and time to volunteer
• Bereavement and Military Leave
• Gym Membership reimbursement

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Associate degree