Healthcare Referral Specialist

4 weeks ago


Rutland, Vermont, United States Community Health Centers of the Rutland Region Full time
Job Summary

Community Health Centers of the Rutland Region is seeking a skilled Healthcare Referral Specialist to join our team. In this role, you will be responsible for obtaining and verifying insurance authorizations and referrals for patient services.

Key Responsibilities:

  • Review and verify provider orders to ensure referrals are in place prior to service.
  • Maintain accurate records of referrals and authorizations in our electronic medical record system.
  • Run regular reports to ensure accuracy and inform providers and staff of referrals/testing.
  • Assist patients with authorization documents as needed.
  • Monitor and track patient authorizations, notifying supervisors of expired dates.
  • Identify and address issues, notifying appropriate staff and providers.

Requirements:

  • High school diploma or equivalent; Associate's degree preferred.
  • Three years of experience as a referral specialist or similar experience in a healthcare role.
  • Knowledge of medical billing/coding, proficiency in electronic medical record systems, and strong customer service skills.

Benefits:

  • Medical insurance.
  • Dental insurance.
  • Health savings account option.
  • 403(b) retirement savings plan.


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