Referral Specialist

New York, NYOnsiteFull Time$23–$25 /hrPosted 2 months agoVisa sponsorship available

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Required skills

  • Referral Specialist
  • Patient Documentation
  • Referral Guidelines
  • Clinical Information
  • Prior Approval
  • Insurance Companies
  • Medical Information
  • Patient History
  • Diagnosis
  • Prognosis

Nice to have

  • eClinicalWorks EMR

Role summary

Apicha Community Health Center is seeking a full-time Referral Specialist for its Manhattan location. This role involves maintaining, tracking, and reviewing patient documentation for referrals, ensuring patient safety, and providing necessary clinical information to specialists. The specialist will also coordinate with insurance companies for prior approvals, communicate referral details to patients, identify and utilize community resources, and follow up on referral outcomes. The position requires strong customer service, communication, organizational, and problem-solving skills, with an ability to work effectively with diverse populations in a multi-cultural setting.

Apicha Community Health Center aims to improve community health by providing access to comprehensive primary care, preventive health services, mental health, and supportive services. The center is dedicated to delivering high-quality, culturally competent services that enhance the quality of life. It also advocates for and offers a welcoming environment for underserved and vulnerable populations.

Position Summary:

We're looking for a resourceful and empathetic full-time Referral Specialist for our Manhattan location who will maintain, track, assemble and review patients’ documentation on referrals to ensure patient safety and provide appropriate clinical information to specialist per referral guidelines.

Job Responsibilities: 

  • Maintain ongoing tracking and appropriate documentation on referrals to ensure patient safety.
  • Per referral guidelines, provide appropriate clinical information to specialist. Relates given information concerning patient's clinical background and referral needs.
  • Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis as documented on the referral.
  • Review details and expectations about the referral with patients.
  • Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.
  • Ensure that referrals are addressed in a timely manner.
  • Follow-up with referrals to ascertain attendance and obtain a completed report.
  • Remind patients of scheduled appointments via mail or phone.
  • Performs other duties as may be assigned.

Qualifications:  

  • High school diploma required; medical assistant certification preferred.
  • Strong customer service focus.
  • Effective verbal and written communication skills.
  • Organized and able to manage competing priorities.
  • Good judgment.
  • Resourcefulness in problem solving.
  • Able to take and follow through with delegated tasks.
  • Ability to work with all clients regarding their individual health maintenance needs.
  • Ability to work both independently and in a team to meet the objectives of all programs.
  • Ability to work with people from diverse backgrounds in multi-cultural setting required.
  • Knowledge eClinicalWorks EMR preferred.

At Apicha, we believe that serving the needs of our staff is just as important as serving the needs of underserved people of New York City as such we are proud to offer our team members a competitive employee benefits package which include 12 Paid Holidays, vacation and sick leave, Health Insurance Coverage, Flexible Spending Account, Life Insurance, Employee Assistant Program just to name a few.

Ready to apply?
You'll be redirected to Apicha Community Health Center's application page.

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