Referrals Associate I/II - Carolina Family Patient Support Services

Carolina Family Health Centers•Wilson, NC

1d•$12 - $15

About The Position

Come join our “Family” and be part of providing healthcare In the Community…For the Community. Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence…where patients come first. Regardless of an individual’s ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care. As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy and dental services in an integrated model that provides a comprehensive approach to care for our patients. Position Overview The Referrals Associate I/II at our Carolina Family Patient Support Services location in Wilson, NC, arranges and tracks referrals requested by providers to outside entities and tracks designated diagnosis, as requested by providers. This position reports to the Referrals Supervisor. THIS POSITION OFFERS A 40-HOUR WORKWEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, 12 PAID HOLIDAYS, BI-WEEKLY PAY.

Requirements

High School diploma or GED or Associate degree in Health Information Technology or Medical Office Administration.
Minimum one to five years of similar experience.
Electronic Health Record system experience is required.
Ability to communicate effectively both written and verbally.
Must be professional, detail oriented, and organized.

Nice To Haves

Familiarity with medical terminology is preferred, but not required.
Bilingual in Spanish is a plus.

Responsibilities

Monitors the referral work queues daily for incoming referrals that need processing.
Evaluates the patient’s insurance status, the details of the referral, and patient assistance program options in order to obtain the appointment on behalf of the patient taking into consideration the patient’s insurance status, county of residence and patient assistance program guidelines.
Obtains insurance authorization for referral appointments through various insurance provider portals when necessary.
Inputs referral requests into various systems.
Communicates with the medical and dental providers if additional information is needed.
Schedules referral appointments.
Documents clearly in the patient’s electronic health record system any activity or communication with specialty offices or other individuals in regards to securing the appointment.
Communicates the appointment details with the patient or the patient’s parents/guardian in writing, by phone or through patient portal.
Has access to summary data with the clear understanding that access and reading is limited to their scope of training and duties.
Perform other duties as assigned.
Comply with all standards related to Customer Service.
Adhere to CFHC, Inc. compliance program standards; including quality improvement, risk management and standards of conduct.