Referrals Specialist

Description

Cornerstone Family Healthcare is actively recruiting for a Referrals Specialist to join our growing team in Newburgh. 

RATE OF PAY/SALARY: $21.00 per hour

WORK LOCATION(S): Newburgh, NY 

STATUS: Full-time

CORNERSTONE’S MISSION: 

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.  For more than fifty years, Cornerstone has been responsive to meeting the needs of the communities in which we serve with a continued emphasis on the underserved and those without access to health care regardless of race, economic status, age, sex, sexual orientation or disability. 

CORNERSTONE BENEFITS: 

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

• 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 so, 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 make sure a referral is on file for the visit, if it is 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
• Perform 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