Referrals Specialist

Cornerstone Family Healthcare is a non-profit Federally Qualified Health Center with a mission to provide high-quality, comprehensive, primary and preventative health care services in an environment of caring, dignity, and respect to all people regardless of their ability to pay.

About the role

Acts as the Orders Administrator in ECW and reviews all referrals to ensure the patient is being sent to a service provider where their insurance is accepted and that all required information is on the referral, including diagnosis, instructions, duration, and maximum number of visits. After reviewing each referral, sends a copy of the referral to the service provider and includes a copy of the most recent office visit note and labs if requested by the service provider.

• Maintains the list of service providers in EMR and ensures all demographic information is kept up to date.
• Maintains a list of insurances accepted by service providers and shares the list on a quarterly basis with each department.
• Fields phone calls from staff and service providers and resolves inquiries related to referrals and prior authorizations.
• Obtains prior authorization for specialty appointments or procedures, if requested to do so.
• Audits specialty provider schedules to ensure a referral is on file for the visit, if required by the patient’s insurance.
• Assists with the referral tracking process on a monthly basis, if requested.
• Exemplifies excellent customer service with patients, visitors, and other employees; shows courtesy, friendliness, helpfulness, and respect.
• Consistently demonstrates respect for the capabilities, different cultures, and/or personalities of internal and external customers.
• Maintains and ensures patient privacy and confidentiality.
• Takes the initiative to proactively assist others.
• Maintains open and effective communication with providers and employees to ensure quality patient care.
• Facilitates referral process by scheduling appointments (when needed) and requesting visit documentation when referral is complete.
• Performs other related duties as assigned.

Requirements

• At least one-year clerical experience in a health-related field.
• Knowledge of data entry.
• Pleasant telephone manner.
• Ability to work under pressure.

Benefits

• Competitive salaries
• Health Benefits
• Retirement plan
• Paid Time Off
• Sick Time
• Flexible Spending
• Dependent Care
• Paid Holidays

Pay

$21.00 per hour

Schedule

Full-time

Work location: Newburgh, NY