Referrals Coordinator

Community Health Center of Franklin County IncOrange, MA
$19 - $24Hybrid

About The Position

Responsible for generating and processing referrals for specialist care and specialized testing.

Requirements

  • Strong commitment to CHCFC Mission.
  • Strong interpersonal and communication skills.
  • Ability to work with a diverse population and sensitivity to low-income populations.
  • High school diploma or equivalent
  • Word processing and experience with computerized medical billing and insurance verification.

Nice To Haves

  • associate’s degree or advanced training in office management preferred
  • 3 to 5 years of medical office experience preferred

Responsibilities

  • Processes all generated referral orders in a timely manner, per health center policy
  • Maintains documentation of approved referral status in an organized filing system in order to easily retrieve and verify for CHCFC patients, specialists or insurance organizations.
  • Creates and submits necessary documentation for appeals for referral services as required.
  • Provides training to all personnel on any new requirements for accessing necessary testing, referrals in order to provide quality patient care.
  • Confers as needed with Operations managers, staff leads and provider staff to identify problems and opportunities for improvement in referral operations and assure coordinated, smooth operations between these two departments.
  • Confers with designated personnel of individual insurance plans to clarify any information needed to generate referrals properly and efficiently and trains appropriate staff as needed.
  • Advises patients on procedures, policies and questions relating to referrals and insurance requirements; refers patients to appropriate personnel as needed if unable to resolve issues.
  • Follows up on overdue open referral orders to determine outcome of referral and documentation of any necessary information.
  • Assists in orienting all new clinical personnel to the referrals department policies and procedures.
  • Performs other duties as required or assigned.
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