Referral Specialist

1 week ago

Greenbelt, Maryland, United States Community Clinic Inc. Full time
Job DescriptionJob Description

CCI Health Services is a 50-year-old Federally Qualified Health Center is a diverse and inclusive workplace that serves 60,000 medical patients and Women Infant's & Children (WIC) participants in Montgomery and Prince George's Counties. As a 501(c)3 non-profit, CCI is committed to providing high-quality, affordable primary healthcare to every patient across all life stages. Visit for more information.

We are an approved FQHC for the NHSC loan repayment program (with an HRSA score of 19).**NHSC Student Loan Repayment Program recognizes CCI Health Services as an approved FQHC participant. Learn more: National Health Service Corps Students to Service Loan Repayment Program Application and Program Guidance )

As a member of the health center's integrated care team, the Referral Specialist will fulfill the following KEY FUNCTIONS AND RESPONSIBILITIES towards the provision of patient-centered, coordinated patient care:

• Prepares and processes all managed care referral paperwork.

• Schedules appointments for specialists when needed.

• Prepares pertinent information from referring providers to complete referrals.

• Contacts various offices/facilities to obtain the necessary information to accurately complete referral requests.

• Maintains referral records and files documentation.

• Process Infant and Toddlers and Child Find programs.

• Assist with check-out and follow-up appointments with PCP.

• Scan documents into the patient chart.

• Process Breast and Cervical Cancer Diagnosis and Treatment program referrals.

• Learn and process Catholic Charities/Project Access referrals.

• Process insurance referrals pre-authorization.

• Run and follow up with i2i reports.

• Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.

• Assists patients to fill out applications for specialty programs.

• Obtain pre-authorizations for specialist visits/imaging when necessary.


REQUIRED SKILLS OR ABILITIES:

• Requires experience and demonstrated abilities for working in a multi-cultural setting.

• Knowledge of some medical terminology.

• Ability to collaborate and interact with a diverse group of health care professionals.

• Ability to initiate and maintain a working relationship.

• Have understanding and knowledge of population and community of service area.

• Good community skills: able to listen well, use language appropriately, and able to communicate in writing.

• Excellent customer service skills.


REQUIRED KNOWLEDGE, EXPERIENCE, OR LICENSURE/REGISTRATION:

• High School Diploma or its equivalent, associate degree preferred.

• Current CPR certification.

• Bilingual in Spanish and English preferred.

Why work at CCI?

  • Extensive benefits plan
  • Generous PTO Plan
  • 403B Retirement Plan + Employer match up to 4%
  • Tuition Reimbursement
  • Continuing education assistance; can be used toward obtaining certifications, renewal of certifications, or possible conference attendance.
  • Our providers are insured for malpractice under the Federal Tort Claims Act.

Founded in 1972, CCI Health Services is a diverse and inclusive workplace grounded in community. Located in the Washington, DC Metro Area, each year CCI cares for more than 60,000 individuals in Montgomery and Prince George's Counties. As a non-profit, CCI is committed to improving health equity through the provision of affordable primary care for all, across all stages of life. Visit for more information.

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