Referrals Specialist

Description
Lowell Community Health Center (Lowell CHC) is a diverse, community-based health care organization.
Our programs have been recognized as national models and LCHC was named one of the top five health centers in the nation for excellence in cultural competency.
With a career at Lowell Community Health Center, you will be joining a dynamic team of passionate and talented people.
Summary
Process incoming and outgoing referrals.
Responsible for scheduling specialty appointments for health center patients and informing patients of date, time and location of appointments.
Respond to inquiries from patients, staff, internal and external physicians, hospitals, other medical groups and third-party carriers.
Maintain data and referral tracking system.
Work collaboratively with other members of the health care team in order to provide superior patient care delivery.Provides overall excellent customer service.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Process incoming/outgoing referrals sent via the electronic medical record (EMR) from providers.
Upon receiving request for referral, verify insurance coverage and obtain approval as needed.
Research and ensure that the specialist referring to accepts the patient's insurance plan.
Contact specialty office and schedule appointments for patients.
Assemble paperwork, required medical information and submit it to specialty office as needed.
Respond to providers via telephone encounters and actions within the EMR as needed.
Respect and maintain privacy and dignity of patients/clients, always ensuring patient confidentiality.
Evaluate referrals for accuracy and completeness while supporting physician networks.
Documents pertinent information in management system and routes information as needed.
Interact with patients via various methods, including phone, text, and portal regarding questions about referrals / appointments.
Ensure that all required forms are obtained, completed and signed.
Ensure that referrals are processed in a timely manner in accordance with health center policies.
Maintains current knowledge of referral processes, health center systems and changes.
Participate in staff and educational meetings/trainings.
Provide excellent customer service to both external customers and internal customers.
Perform other work-related duties as assigned.
BASIC OR PREFERED QUALIFICATIONS

High school diploma or equivalent, two years office experience in a health care setting preferred.
Knowledge of medical terminology is required.
Knowledge of health care system and insurance eligibility is strongly preferred.
Experience working with diverse communities and understanding of multi-cultural beliefs, practices and cultures is preferred.
Data entry, computer and phone skills are required.Knowledge of Electronic Medical Records (EMR) is a great asset.
Must be able to work independently and as part of a team.
Possess good communication, interpersonal skills and resourceful in problem solving.
Must be detail oriented, organized, with the ability to multi-task and manage competing priorities.
Accountable to take on and follow through with delegated tasks.
Bi-lingual in English and Spanish, Portuguese or Khmer preferred.

Lowell Community Health Center offers a competitive salary with an excellent benefits program; including sick, personal and paid holidays, health insurance, company paid life and long-term disability, 403B, & flexible spending accounts.
Lowell Community Health Center is an equal opportunity employer.
All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.