Referral Specialist

Roanoke Chowan Community Health Center; Ahoskie (NC); On-site; USD 42,000 - 52,000; Full time

Job summary

Roanoke Chowan Community Health Center is seeking a Referral Specialist to establish and maintain a patient referral system, schedule appointments, and manage paperwork for clinicians. The role requires coordinating with insurance providers and tracking referrals throughout the patient care process.

The Referral Specialist will work on-site, support RCCHC values, and contribute to the PCMH model of care while ensuring timely communication with patients and staff.

Qualifications

• Graduate of an accredited high school or business school.
• Work experience in a business or medical practice preferred.

Responsibilities

• Schedules referral appointments and contacts patients with reminders.
• Ensures appropriate paperwork is sent to the consulting clinician.
• Maintains a tracking log of referred patients.
• Assists insurance companies with information such as pre-existing conditions and coverage.
• Acts as referral liaison between RCCHC and other healthcare facilities.
• Sets authorization for MRI and CT referrals.
• Ensures scheduling adheres to standardized protocol.
• Participates as an active member of the RCCHC team.
• Maintains compliance with workflows, policies and PCMH accreditation.
• Other duties as required.

Skills

Initiative & judgment

Discretion

Communication

Teamwork

Planning & prioritizing

Policy interpretation

Education

High school or business school diploma

Tools

Microsoft Office

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Referral Specialist

Full-time Regular Ahoskie, Ahoskie, NC, US

7 days ago Requisition ID: 1629

Title: Referral Specialist

Reports To: Lead Referral Specialist

Direct Reports: None

Workgroup(s) : None

Work Status : On Site

Status: Non-Exempt

Summary of Position

The Referral Specialist is responsible for establishing and maintaining a patient referral system for the center. This shall include scheduling appointments, ensuring that appropriate paperwork is sent to the consulting clinician, obtaining approval from insurance companies, notifying the patient regarding the arrangements that have been made and maintaining adequate referral form inventories. The Referral Specialistwill model behaviors consistent with the published values and the Code of Conduct of RCCHC.

RCCHC Mission, Vision and Values

Mission : Great care for every one every day.

Vision : Striving to be the primary healthcare provider, dedicated to and supported by the people we serve.

Values : (R)espectful, (C)ompassionate, (C)aring, (H)onest, (C)ommitted

Population Served

Roanoke Chowan Community Health Center will provide open access, community-oriented primary care of the highest quality to all residents within our service area and surrounding counties, regardless of their ability to pay.

Minimum Qualifications

• Works effectively with others and is able to organize workload, as well as assume responsibility and maintain confidentiality
• Must be able to work independently, exercise appropriate decision-making skills, and function effectively on a team.
• Must be able to speak and communicate clearly and effectively

Education : Graduate of an accredited high school or business school

Experience : Work experience in a business or medical practice preferred

Certification(s)/Licensure :N/A

Knowledge:

• Knowledge and thorough understanding of Federally Qualified Health Centers (FQHC’s) in regard to the Federal 330 Public Health Service Act
• Knowledge of thorough understanding of the 340B program
• Knowledge of computer systems and applications.

Skills:

• Skill in exercising a high degree of initiative, judgment, and discretion.
• Skill in analyzing situations accurately and taking effective action.
• Skill in establishing and maintaining effective working relationships with the medical and administrative staff, patients and the community.
• Skill in planning, organizing, and prioritizing work; delegating and achieving goals and objectives.
• Skill in exercising judgment and discretion in developing, interpreting, and implementing departmental policies and procedures.
• Skill in identifying and resolving problems.

Abilities:

• Ability to plan, organize, and integrate priorities and deadlines.
• Ability to identify, analyze, and interpret complex data and, resolve operational problems.
• Ability to evaluate and make recommendations for continuous quality improvement.
• Ability to evaluate and make recommendations for continuous risk assessment.
• Ability to anticipate and react calmly in emergency situations.
• Ability to communicate clearly and effectively orally and in writing.
• Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, and appropriate organizational software.

Essential Functions

• Schedules referral appointments and contacts patients with a reminder of appointment
• Ensures appropriate paperwork is sent to the consulting clinician
• Maintains a tracking log of referred patients
• Assists insurance companies with additional information such as pre-existing conditions, diagnosis, coverage, etc.
• Acts as referral liaison between RCCHC and other healthcare facilities
• Sets authorization for MRI and CT
• Ensures scheduling adheres to standardized protocol
• Participate as an active member of the RCCHC team
• Maintain compliance with workflows, policies and proceduresas well as other activities to support PCMH model of care and accreditation
• Other job duties may be required that are not listed above.