Referrals Specialist

MahecAsheville, NC
Onsite

About The Position

Provides business office support to the providers and patients of MAHEC Family Health Centers, MAHEC OBGYN, MAHEC Internal Medicine, and MAHEC’s Center for Psychiatry and Mental Wellness. Primary duties include following up and tracking of outgoing, external referrals in a timely manner, as ordered by MAHEC providers. Reviewing patient electronic health records to determine the status of referrals, obtain appropriate documentation on appointments, and maintain open lines of communication between referral team, ordering providers, and offices to which referrals are sent.

Requirements

  • High School Diploma or equivalent
  • At least (2) years of relevant experience in a medical office or hospital setting, or a comparable equivalent of combined education and experience.
  • Basic typing, Microsoft Office Suite, (Outlook, Excel, Word, PPT), and data entry.

Nice To Haves

  • Working knowledge of medical terminology
  • Referral or scheduling experience
  • Experience working with major health insurance carriers
  • Fluency in Spanish
  • Prior call center experience
  • Allscripts EHR experience preferred
  • Spanish bilingual strongly preferred

Responsibilities

  • Manage and prioritize follow up on outgoing referrals by processing outgoing referrals and monitoring the referral queue daily.
  • Obtain prior authorizations as needed to complete the referral.
  • Schedule appointments for tests, procedures, and consultations for specialty offices outside of MAHEC.
  • Provide patient with appointment date, time, location, and contact number for referral provider.
  • Inform patient of specific instructions or preparations to follow in relation to the referral appointment.
  • Conduct follow up by reaching out to specialty offices to obtain referral status and facilitate receipt of accompanying documentation on specialty office appointments.
  • Manage incoming calls from patients and clinicians in regards to all referral updates, changes, or confirmations.
  • Ensure MAHEC providers receive appropriate documentation on outgoing referrals ordered.
  • Enter updates in EHR on appointments for tests, procedures, and consultations for specialty offices outside of MAHEC.
  • Maintain accurate records of contact attempts, correspondence, and referral processing and follow up activities in the EHR, and other established tracking systems.
  • Other duties as assigned by the Referrals Team Lead, and Manager of Health Information Management and Referrals.

Benefits

  • Full benefits available
  • MAHEC is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program. Employees who meet federal requirements may be eligible to have remaining student loan balances forgiven after 10 years of qualifying payments while working full-time at MAHEC.
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