Referrals Associate I - Community Health Navigator, 40h

Carolina Family Health Centers, Inc; Wilson (NC); On-site; USD 16,531 - 20,664; Full time

Benefits offered by this job

Health insurance

401(k) and match

AD&D insurance

Disability insurance

Employee assistance program

Flexible spending account

Paid time off

Holidays

Vision insurance

Life insurance

Job summary

Carolina Family Health Centers, Inc. is seeking a Referrals Associate I for the Wilson, NC location to handle referrals from providers and track outcomes.

The role reports to the Referrals Supervisor and offers a 40-hour workweek with no weekends and full benefits. Responsibilities include monitoring referral queues, assessing insurance status, obtaining authorizations, data entry in multiple systems, and communicating appointment details to patients and guardians.

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.
• Must be professional, detail oriented, and organized.
• 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, 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.
• 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.

Skills

Communication skills

Attention to detail

Medical terminology

Bilingual Spanish

EHR systems

Education

High School diploma or GED or Associate degree in Health Information Technology or Medical Office Administration

Tools

EHR systems

Job description

Carolina Family Health Centers, Inc. is seeking a Referrals Associate I for the Wilson, NC location to handle referrals from providers and track outcomes.

The role reports to the Referrals Supervisor and offers a 40-hour workweek with no weekends and full benefits. Responsibilities include monitoring referral queues, assessing insurance status, obtaining authorizations, data entry in multiple systems, and communicating appointment details to patients and guardians.