Hometown Health has an opening for a Referral Coordinator (RC). The RC manages and coordinates outside specialty appointments requested by Hometown Health Center’s staff to ensure continued continuity of patient care in a timely and professional manner; maintains positive relationships for collaboration with area hospitals, ancillary departments, and specialty physicians, nursing facilities, patient families and the general public.
Hometown Health Center is a Federally Qualified Health Center in rural central Maine that provides comprehensive health care including medical, dental, and behavioral health services. Make a difference every day and provide excellent patient care as part of the HHC team. HHC offers competitive pay, great benefits, including health, dental, life, and disability insurance. We also offer a 401k Plan with a generous employer match.
ESSENTIAL JOB FUNCTIONS
- Manages and coordinates all medical referrals for Hometown Health Centers Medical Staff thru the Electronic Health Record system.
- Communicates directly with patients, building rapport and giving and receiving information.
- Utilizes the computer system/EHR according to departmental protocols to include accurate data entry and retrieval of information for reporting purposes.
- Receives inquiries and requests and performs research and responds accordingly.
- Performs data collection and data entry, following through and documenting on interactions.
- Processes insurance referrals and maintains detailed documentation on each insurance authorization.
- Maintains close communications with key insurance companies, to ensure that referrals and prior authorizations are completed and followed up per requirements.
- Solves problems independently or within a team environment.
- Acts as a liaison between contracted referral support.
. COMPETENCIES
- Good organizational skills to handle multiple priorities while remaining professional and calm.
- Ability to work with many diverse people.
- Effective telephone skills.
- Strong level of confidentiality due to the sensitivity of materials and information handled.
- Must be able to make suggestions on workflow or system efficiency and effectiveness.
- Ability to work independently and be self-directed and flexible.
- Ability to prioritize.
- Ability to perform functions with minimal supervision.
- Ability to work at a high-volume level of accuracy.
QUALIFICATIONS NEEDED FOR POSITION
- At least two years of medical office experience, including prior referral experience, required.
- Insurance Medical billing and coding expertise.
- Ability to work collaboratively with people of diverse backgrounds.
- Ability to communicate effectively with all internal and external customers in a professional and courteous manner.
- Strong organizational skills.
- Ability to work independently and as part of a team.
- Ability to function professionally managing multiple priorities.
- Ability to communicate articulately and comprehend written and verbal communications.
- Ability to accurately collect, enter and report data.
- Willingness to learn and take on new challenges, roles and duties.
- Adhere to Hometown Health Center’s employee immunization policy.
EDUCATION REQUIREMENTS
- High School Education or the equivalent required.
- Demonstrated knowledge of insurance referral process.
- Basic understanding of medical terminology
- Basic understanding of medical tests and requirements for tests as to provide the patients with appropriate information.