Job details

Document & Referral Specialist - Primary Care/Pediatrics

Get a free resume review

Description

Reports to: Clinical Development Manager

Pay rate: $18.39/hour

Schedule: Monday - Friday, dayshift hours. No evenings, no weekends, no major holidays. Full-time, 37.5 hours per week.

Position Summary:

This position performs clerical duties for the health center, interacting with providers, nurses, and health center personnel to ensure patient documentation, insurance authorizations, referrals, testing, and other patient/health center needs are met.

Primary Responsibilities:

Manage all referrals, including but not limited to sending referrals, obtaining patient appointments, and retrieving patients’ notes after the appointment date.
Process diagnostic imaging and procedure orders within the Health Center.
Complete prior authorizations for medical procedures, tests, and durable medical equipment (DME).
Comprehend coverage under patients’ insurance plans, including but not limited to knowing which procedures and tests require insurance authorization.
Provide follow-up to the missed procedure, test, or referral appointment via letter or telephone call to the patient.
Manage all incoming faxes received in the Health Center.
Manage prescription and after-hours message lines per policy.
Prepare correspondence, including patient and provider letters.
Reconcile failed interface results within EMR.
Receive records from external facilities and notify the appropriate medical staff (nurse, clinician) of results.
Retrieve records from the hospital/emergency department per the provider’s request.
Provide patient information to medical staff.
Answer telephone and prioritize telephone/fax communication.
If needed, provide backup coverage as a receptionist: receive new patients and direct visitors with a positive, professional demeanor.
Assist with tasks directed by providers and nurses.
Perform other duties as directed by the supervisor.

Requirements

High School Diploma or GED preferred.
Medical terminology knowledge is preferred.
One-year experience in a medical-related field or office setting is required, or specialized education in a medical or business/office field is required. One year may be a combination of experience and education.
Ability to maintain a high level of professionalism and confidentiality in dealing with patient information and/or issues.
Excellent organizational, computer, and information management skills.
Ability to maintain good working relationships with others.
Excellent customer service skills, including active listening, strong phone contact handling skills, empathy, problem-solving, and communication.
Knowledge of and/or experience with federally qualified health centers is preferred.
Ability to lift and carry up to 25 lbs.
Excellent hand-eye coordination
Ability to sit for long periods
Ability to tolerate extensive exposure to computer monitor/screen
Ability to tolerate extensive use of computer keyboards.

Benefits:

Community Health Center of the North Country offers eligible employees excellent, affordable benefits options. Options include medical, dental, and vision insurance, Flexible Spending Account (FSA), Term Life/AD&D insurance, long-term and short-term disability, 401(k), and other elective programs. We also offer generous time off, including vacation, personal, and sick time, as well as paid holidays.

Average salary estimate

$38200 / YEARLY (est.)

min

max

$38200K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Document & Referral Specialist - Primary Care/Pediatrics, Cerebral Palsy Association of the North Country

If you’re looking for a rewarding role where you can make a real difference in the lives of patients, consider joining the Community Health Center of the North Country as a Document & Referral Specialist in Primary Care and Pediatrics. Located in the heart of Gouverneur, New York, this full-time position offers a stable schedule with no evenings, weekends, or major holidays, allowing you to enjoy a balanced lifestyle. As a Document & Referral Specialist, you will play a crucial role in managing patient documentation and coordinating referrals, ensuring that patients receive the care they need when they need it. You’ll be interacting with a dedicated team of providers, nurses, and health center personnel as you handle everything from processing diagnostic imaging and procedure orders to completing insurance authorizations. With a focus on excellent customer service, your day may include following up on missed appointments, managing incoming faxes, and assisting with various administrative tasks. Your organization and communication skills will shine as you prepare patient and provider correspondence and support your team in delivering top-notch healthcare. If you have experience in a medical-related field or relevant education, as well as a passion for helping others, this is the perfect opportunity for you to put your knowledge of medical terminology and procedures to use. Join us at the Community Health Center of the North Country, where your skills can truly make a positive impact on our community.

Frequently Asked Questions (FAQs) for Document & Referral Specialist - Primary Care/Pediatrics Role at Cerebral Palsy Association of the North Country

What are the primary responsibilities of a Document & Referral Specialist at Community Health Center of the North Country?

As a Document & Referral Specialist at Community Health Center of the North Country, your key responsibilities include managing all patient referrals, processing diagnostic orders, and handling insurance authorizations. You’ll also follow up with patients regarding missed appointments and work alongside medical professionals to ensure smooth operations within the health center.