Referrals Associate I - Carolina Family Patient Support Services

Carolina Family Health Centers, Inc.; Wilson (NC); On-site; USD 14,047 - 20,006; Full time

Benefits offered by this job

401(k) match

AD&D insurance

Dental insurance

Disability insurance

Employee assistance program

Flexible spending account

Health insurance

Life insurance

Paid time off

Holidays

Vision insurance

Job summary

Carolina Family Health Centers, Inc. in Wilson, NC seeks a Referrals Associate I to manage patient referrals and track status for providers, reporting to the Referrals Supervisor.

This is a full-time role with a 40-hour workweek, no weekends, and a full benefits package. Responsibilities include monitoring referral queues, confirming insurance, obtaining authorizations, entering requests, coordinating with providers, scheduling appointments, and recording activity in the EHR.

Qualifications

• High School diploma or GED or Associate degree in Health Information Technology or Medical Office Administration.
• Minimum one to five years of similar experience.
• Electronic Health Record system experience is required.
• Ability to communicate effectively both written and verbally.
• Familiarity with medical terminology is preferred, but not required.
• Bilingual in Spanish is a plus.

Responsibilities

• Monitors the referral work queues daily for incoming referrals that need processing.
• Evaluates the patient’s insurance status and referral details to arrange appointments.
• Obtains insurance authorization for referral appointments when necessary.
• Inputs referral requests into various systems.
• Communicates with medical and dental providers for needed information.
• Schedules referral appointments and documents activity in the EHR.
• Notifies patients or guardians of appointment details in writing or by phone.
• Adheres to training scope and reads data access accordingly.
• Performs other duties as assigned and upholds customer service standards.
• Complies with CFHC, Inc. compliance program standards.

Skills

Effective communication

Written communication

Detail oriented

Education

High School diploma or GED or Associate

Tools

Electronic Health Record system

Job description

THIS POSITION OFFERS A 40-HOUR WORKWEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, 12 PAID HOLIDAYS, BI-WEEKLY PAY.

Come join our “Family” and be part of providing healthcare In the Community…For the Community.

Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence…where patients come first. Regardless of an individual’s ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care.

As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy and dental services in an integrated model that provides a comprehensive approach to care for our patients.

THIS POSITION OFFERS A 40-HOUR WORKWEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, 12 PAID HOLIDAYS, BI-WEEKLY PAY.

Come join our “Family” and be part of providing healthcare In the Community…For the Community.

Position Overview

The Referrals Associate I at our Carolina Family Patient Support Services location in Wilson, NC, arranges and tracks referrals requested by providers to outside entities and tracks designated diagnosis, as requested by providers. This position reports to the Referrals Supervisor.

Essential Tasks

• Monitors the referral work queues daily for incoming referrals that need processing.
• Evaluates the patient’s insurance status, the details of the referral, and patient assistance program options in order to obtain the appointment on behalf of the patient taking into consideration the patient’s insurance status, county of residence and patient assistance program guidelines.
• Obtains insurance authorization for referral appointments through various insurance provider portals when necessary.
• Inputs referral requests into various systems.
• Communicates with the medical and dental providers if additional information is needed.
• Schedules referral appointments.
• Documents clearly in the patient’s electronic health record system any activity or communication with specialty offices or other individuals in regards to securing the appointment.
• Communicates the appointment details with the patient or the patient’s parents/guardian in writing, by phone or through patient portal.
• Has access to summary data with the clear understanding that access and reading is limited to their scope of training and duties.
• Perform other duties as assigned.
• Comply with all standards related to Customer Service.
• Adhere to CFHC, Inc. compliance program standards; including quality improvement, risk management and standards of conduct.

Experience And Education

• High School diploma or GED or Associate degree in Health Information Technology or Medical Office Administration.
• Minimum one to five years of similar experience.
• Electronic Health Record system experience is required.
• Ability to communicate effectively both written and verbally.
• Must be professional, detail oriented, and organized.
• Familiarity with medical terminology is preferred, but not required.
• Bilingual in Spanish is a plus.

Schedule

Monday, Tuesday, Wednesday, Thursday, Friday

8 am – 5 pm

8-hour shift

Day shift

Physical Requirements

• Individuals may need to sit or stand for long periods of time, occasional bending, stooping, lifting including of patients, reaching forwards and overhead.
• Possibly requires walking primarily on a level service for periods throughout the day.
• Both proper lifting techniques and frequent computer work are required.
• Must be able to travel freely in the local area; between clinics, hospitals, health departments, etc.

Benefits

• 401(k) and match
• AD&D insurance
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Holidays
• Vision insurance

Job Type

Full-time

Base Pay Overview

The starting pay for this position is $12.36 hourly for the Referrals Associate I. Please keep in mind that actual salary will vary based on various factors such as qualifications, skills, competencies, and proficiency for the role.