Referral Coordination Specialist

2 weeks ago


Lowell, Massachusetts, United States Lowell Community Health Ctr Full time


As a Referral Coordination Specialist, you will play a vital role in managing the flow of referrals within our health center. Your primary responsibilities will include organizing specialty appointments for patients, ensuring they are well-informed about their appointments, and addressing inquiries from various stakeholders including patients, healthcare providers, and insurance companies. You will also maintain an efficient data and referral tracking system, collaborating closely with the healthcare team to enhance patient care delivery. Your commitment to providing exceptional customer service will be essential in this role.

KEY RESPONSIBILITIES
  • Manage incoming and outgoing referrals through the electronic medical record (EMR) system.
  • Verify insurance coverage and secure necessary approvals upon receiving referral requests.
  • Research and confirm that specialists accept the patient's insurance plans.
  • Schedule appointments with specialty offices on behalf of patients.
  • Compile and submit required medical documentation to specialty offices as necessary.
  • Communicate with providers through phone and EMR to address inquiries.
  • Uphold patient confidentiality and dignity at all times.
  • Assess referrals for accuracy and completeness while supporting physician networks.
  • Document relevant information in the management system and route it appropriately.
  • Engage with patients through various communication methods regarding referral and appointment questions.
  • Ensure all necessary forms are collected, completed, and signed.
  • Process referrals promptly in alignment with health center policies.
  • Stay updated on referral processes, health center systems, and relevant changes.
  • Participate in staff meetings and educational training sessions.
  • Deliver outstanding customer service to both external and internal clients.
  • Perform additional duties as assigned.
KNOWLEDGE & SKILLS

The ideal candidate will demonstrate the ability to work independently as well as collaboratively within a team. Strong communication and interpersonal skills are essential, along with resourcefulness in problem-solving. Attention to detail, organizational skills, and the capacity to manage multiple priorities are crucial. Bilingual proficiency in English and Spanish, Portuguese, or Khmer is preferred.

EDUCATION & EXPERIENCE

A high school diploma or equivalent is required, with a preference for candidates possessing two years of office experience in a healthcare environment. Familiarity with medical terminology is essential, as is knowledge of the healthcare system and insurance eligibility. Experience working with diverse communities and an understanding of multicultural beliefs and practices are highly valued. Proficiency in data entry, computer skills, and telephone communication is necessary, with experience in Electronic Medical Records (EMR) being a significant advantage.

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