Referral Specialist

Penobscot Community Health Care; Bangor (ME); Hybrid; USD 35,000 - 50,000; Full time

Job summary

A leading non-profit health center in Bangor is seeking a motivated Referral Specialist. This role involves providing comprehensive referral experiences, processing requests, and ensuring compliance with health information management. Join a dynamic team focused on patient-centered care with opportunities for remote work after training.

Benefits

Flexible Schedules

Competitive Pay

Comprehensive Benefits

Qualifications

• Minimum one year of customer service experience required.
• Two years healthcare office experience strongly preferred.

Responsibilities

• Process referral and prior authorization requests accurately.
• Act as liaison with outside specialty offices regarding referrals.
• Engage and support patients to ensure they feel heard.

Skills

Customer Service

Attention to Detail

Education

High School Diploma

Associates Degree in Medical Office Technology

Tools

Computer Programs

Job description

Position: Referral Specialist

Location: Administration, 103 Maine Avenue, Bangor, ME 04401, USA

Are you a motivated individual with a keen ability to follow through on tasks big and small? Do you have medical office experience? PCHC is seeking Referral Specialists to join our dynamic and growing team! As a Referral Specialist, you will provide a comprehensive referral experience to our patients, playing a vital role in connecting them to the care and outside services they need. We are looking for someone resourceful, detail-oriented, with excellent follow-through skills, and ready to make a difference. Interested? Apply today!

Schedule: Full-Time, Monday-Friday, 8:30am-5pm (Remote work possible after successful completion of a 6-month training period and productivity assessment in Bangor, Maine. Candidate must be eligible per PCHC's Telecommuting Policy.)

Position Highlights:

• Provide excellent customer service to patients, staff, and external customers by demonstrating friendliness, helpfulness, and proficiency.
• Process referral and prior authorization requests accurately and efficiently. Verify insurance benefits to ensure services are covered.
• Act as liaison and point of contact with outside specialty offices regarding referrals.
• Properly scan, import, and process patient health information related to referrals, ensuring compliance and confidentiality.
• Follow HIPAA laws, regulations, and PCHC medical records policies regarding health information management.
• Assist in maintaining compliance with quality assurance standards.
• Engage and support patients to ensure they feel heard, respected, and involved in their care.
• Collaborate with Health Information Management teams and clinics to improve patient experience and referral processes.

Join PCHC's esteemed non-profit organization:

• Federally Qualified Health Center offering an integrated Medical Home Model
• Collegial professional environment with informed leadership
• Flexible schedules supporting work/life balance
• Competitive pay and comprehensive benefits

PCHC provides comprehensive, patient-centered care with services including Psychiatry & Mental Health, Dental, Family Medicine, Pediatrics, Pharmacy, Geriatrics, Laboratory Services, Physical Therapy, and more!

Qualifications:

• High school diploma or equivalent required
• Associates degree in Medical Office Technology, Health Information Management, or related field preferred
• Proficiency in computer programs and software required
• Minimum one year of customer service experience required
• Two years healthcare office experience strongly preferred
• Completion of Medical Terminology I course preferred

Interested in learning more? Apply today! Request a full copy of the detailed job description by emailing [e-mail].

All qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, or protected characteristics by law.

Qualifications

Skills

Behaviors

Motivations

Education

Experience

Licenses & Certifications

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights under federal employment laws. For more information, review the Know Your Rights notice from the Department of Labor.