Referral Supervisor

Community Health Connections•Fitchburg, MA

About The Position

Essential Duties Major responsibilities: • Assures coordination of patient care between CHC provider and specialist by obtaining, verifying, and providing required information to appropriate parties. • Develop training for current and new referral staff • Audits on all specialist/diagnostic appointments book to ensure that they are done correctly. • Tracking of all booked appointments • Supports operations by assisting staff with internal and external communication, and by maintaining necessary document flow. • Assures that the process of referrals meets the specific guidelines of all contracted insurance carriers in the appropriate time frame. • Enters and updates information into the medical computer systems, maintains a file of all pending referrals. • Institutes a referral tracking process, allowing all clinical support staff to view that information for patients or insurance carrier. • Documents all changes in health coverage for CHC patients, and initiates phone/computer contact to other outside agencies for eligibility, identification and authorization. • Arranging appointments, notify member and/or family of appointment date and any special instructions regarding their appointment. • Conducts the training of new/additional staff in the referral processes. • Maintains a safe and clean working area at all times. • Use of good time management skills. • Contributes to the “Team Concept” • Actively participate in staff meetings and works toward accomplishing department goals and objectives. • Ability to work well with others, accomplishing expected results. • Reports to work at the appointed time, adhering to policies and procedures regarding attendance. • Displays a positive attitude toward all department providers, supervisors and staff members. • Maintains member confidentiality. Be aware of the organization’s protocols and adhere to their requirements, included but not limited to those addressing HIP AA compliance. • Demonstrates understanding and commitment to the health center mission. • Demonstrates understanding and commitment to the established CHC Values & Standards. • Other duties as assigned Minimum Qualifications: • High School Diploma or GED plus required • Min. 1 year Supervisor experience • Min. 3 years related Referral experience • Experience in appointment scheduling. • Knowledge of referral process in the Medical office (experience may be substituted for formal training) • Basic computer skills required. • Good interpersonal skills and ability to work and foster Team environment is required. • Certification in Medical Receptionist or Medical Secretary preferred. Supervision Exercised: Referral Clerks/Assistants and Screening/Prevention team Competencies: Individual departments may develop competencies which will be communicated and maintained through CHC’s performance evaluation system. Environmental Working Conditions: The environment is a normal office environment of a busy Community Health Center. Physical Requirements: The physical and mental demands are representative of those that must be met by an employee to successfully perform the essential duties of this job with or without a reasonable accommodation. Normal visual acuity and standard clerical dexterity to operate computers, printers, photocopiers, and fax machines; moderate walking, standing, reaching, and stooping in order to accomplish everyday office tasks required.

Requirements

High School Diploma or GED plus required
Min. 1 year Supervisor experience
Min. 3 years related Referral experience
Experience in appointment scheduling.
Knowledge of referral process in the Medical office (experience may be substituted for formal training)
Basic computer skills required.
Good interpersonal skills and ability to work and foster Team environment is required.

Nice To Haves

Certification in Medical Receptionist or Medical Secretary preferred.

Responsibilities

Assures coordination of patient care between CHC provider and specialist by obtaining, verifying, and providing required information to appropriate parties.
Develop training for current and new referral staff
Audits on all specialist/diagnostic appointments book to ensure that they are done correctly.
Tracking of all booked appointments
Supports operations by assisting staff with internal and external communication, and by maintaining necessary document flow.
Assures that the process of referrals meets the specific guidelines of all contracted insurance carriers in the appropriate time frame.
Enters and updates information into the medical computer systems, maintains a file of all pending referrals.
Institutes a referral tracking process, allowing all clinical support staff to view that information for patients or insurance carrier.
Documents all changes in health coverage for CHC patients, and initiates phone/computer contact to other outside agencies for eligibility, identification and authorization.
Arranging appointments, notify member and/or family of appointment date and any special instructions regarding their appointment.
Conducts the training of new/additional staff in the referral processes.
Maintains a safe and clean working area at all times.
Use of good time management skills.
Contributes to the “Team Concept”
Actively participate in staff meetings and works toward accomplishing department goals and objectives.
Ability to work well with others, accomplishing expected results.
Reports to work at the appointed time, adhering to policies and procedures regarding attendance.
Displays a positive attitude toward all department providers, supervisors and staff members.
Maintains member confidentiality. Be aware of the organization’s protocols and adhere to their requirements, included but not limited to those addressing HIP AA compliance.
Demonstrates understanding and commitment to the health center mission.
Demonstrates understanding and commitment to the established CHC Values & Standards.
Other duties as assigned