Patient Access Center - Referrals Specialist

Community Health Centers of the Rutland Region • Rutland, VT

9d • Onsite

About The Position

The Referrals Specialist manages the end-to-end processing of patient Referrals, Orders and Diagnostic Imaging. This role acts as a liaison between primary care providers, patients, facilities, specialist offices, and insurance companies. The position is in a fast-paced department committed to ensuring timely, authorized, and documented care. Team members should be able to work independently and prioritize diverse responsibilities.

Requirements

• High school diploma or equivalent.
• Three years of experience preferred as a referral specialist or similar experience in a healthcare role.
• Knowledge of medical billing/coding.
• Skills in using electronic medical record system.
• Proficient computer skills.
• Strong customer service skills.
• Skill identifying problems and recommending solutions.
• Ability to communicate clearly.

Nice To Haves

• Associates Degree preferred.

Responsibilities

• Serve as the primary point of contact between patients, providers, and specialist offices for questions and information requests, providing effective and professional communication with efficient and comprehensive documentation.
• Compile and review supporting documentation for referrals, provide accurate information, and follow refer-to-facility protocols for comprehensive and timely processing of outgoing referrals/orders.
• Process diagnostic imaging orders in a timely manner, verify insurance information, and ensure required documentation is complete, acting as the primary liaison between the referring provider, insurance companies, and radiology facility to resolve issues.
• Verify patient insurance coverage and obtain necessary pre-authorizations or pre-certifications for referrals, orders, and diagnostic testing, accurately recording and relaying authorizations to facilities.
• Utilize Electronic Health Records (EHR) to track referrals, ensuring patient charts are updated with appointment information and consultant reports ('closing the loop').
• Maintain appropriate reports according to CHCRR policy, state, and federal requirements.
• Perform other duties as assigned.

Benefits

• Generous Time Off
• Medical insurance
• Dental insurance
• Vision insurance
• Health savings account option
• Robust 403 (b) retirement savings plan, with employer match and 100% vesting schedule
• Comprehensive Wellness Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED