Referral Specialist I

Overview

Tracks and documents provider referrals, assists with appointments and insurance.

Key Responsibilities

• insurance coordination
• referral scheduling
• patient registration
• status communication
• data tracking
• meeting participation

Tasks

-May contact insurance companies to confirm that prior approval requirement are met and/or to provide needed patient information(e.g., health history, diagnosis, prognosis, provider visit documentation); -May schedule patient referral appointment, to include provision and dispensation of necessary paperwork and related patient instructions; -Maintains knowledge of patient registration procedures and documentation; -Communicates with patients, providers and other staff regarding the status of referrals; -Helps ensure complete and accurate patient registration information, to include demographic data and current health insurance information; -Maintains ongoing tracking of and appropriate documentation regarding the status of provider- directed patient referrals, to include system sufficient to report data and status to others; -Attends and contributes to meeting as needed or required;

Requirements

• microsoft office
• high school
• spanish
• medical coding
• ehr
• customer service

What You Bring

-Physical Effort and Dexterity: Good dexterity to operate personal computer equipment. Light physical activity expected, to include minimal handling of low-weight objects up to 10 pounds. -Visual Acuity, Hearing, and Speaking: Must be able to read computer monitor output accurately. Must be able to communicate clearly and accurately for work and safety compliance. -Ability to maintain calendars and schedule appointments; -Machines, Tools, Equipment required to be operated: Capable of using office machines and personal computers for word processing, data entry and retrieval. -Records maintenance skills; -Ability to apply excellent customer service skills; -Excellent organizational and time management skills; -English proficiency, to include reading, writing and verbal communication; -Appropriate knowledge and familiarity with various compliance programs and elements. Cooperates fully and complies with applicable laws and regulations; -Demonstrable working proficiency using Microsoft Office applications, including Word, Excel and Outlook; -Bi-lingual Spanish-speaking skills highly preferred, experience in a multiple provider setting and experience with electronic health records and healthcare practice management systems preferred. -Ability to work well as a collaborative member of a team; -High school diploma or GED and at least one year of medical office or other related healthcare experience. -Ability to analyze and solve problems; -Demonstrated knowledge of medical terminology/standard medical acronyms; working knowledge of ICD-10/CPT coding; -Appropriate knowledge of related accreditation and certification requirements; -Demonstrated knowledge of patient care charts and patient medical histories; -Knowledge and familiarity with compliance program. Cooperate fully and comply with laws and regulations; -Ability to interact and communicate with others in a professional manner, in person and over the telephone and often in stressful situations; -Efficient, effective work ethic required in order to accomplish assigned tasks in a fast-paced office environment;

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Benefits

-MINIMUM EDUCATION AND EXPERIENCE -Environment/Working Conditions: Work is mostly performed inside a clinic in a controlled environment. Normal clinic safety precautions and practices are required. Position may require travel throughout the FCCH operations area. Work regularly scheduled hours Monday-Friday, although evenings/weekends may be required to meet deadlines or to support necessary changes in health center needs. First Choice Community Healthcare provides all training required by OSHA to ensure employee safety.

About Ashbaugh Beal

-Founded with a focus on resolving complex business disputes and guiding clients through financial restructuring. -Has carved out a niche in providing tailored legal solutions for clients facing high-stakes challenges. -Offers a full spectrum of services for businesses involved in construction, real estate, and other high-risk sectors. -Specializes in navigating clients through complicated commercial litigation, mergers, acquisitions, and bankruptcies. -Regularly works with both public and private sector clients, offering strategic counsel for financial turnaround and risk management. -Key areas include construction law, business litigation, corporate restructuring, and real estate transactions. -Known for its practical approach and deep understanding of industry-specific regulations, making it a trusted advisor in complex matters. -Has developed a reputation for handling cases that involve large-scale projects and transactions with high stakes. -A unique blend of legal and financial expertise that allows them to provide integrated solutions across industries.

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