Referrals Specialist

Greater Lawrence Family Health Center Methuen, MA
Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 600 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.

GLFHC is seeking a skilled, bilingual (English/Spanish) Referrals Specialist to join our team. The Referral Specialist performs all functions necessary to ensure patients have been cleared for specialty service visits. The Referral Specialist will ensure the effective management of all medical referrals and perform a variety of tasks including, processing, prior authorizations, scheduling and tracking of medical referrals for clinic patients to be compliant with Patient-Centered Medical Home requirements to ensure patient safety.

Scope of Duties:

* Monitors electronic referral boxes in Electronic Medical Records (EMR) system and FAXCOM throughout the day to capture referral requests

* Prepares and processes all referral and pre authorization paperwork

* Contacts various clinics, facilities, companies to obtain information to accurately complete referral and pre- authorization requests

* Utilizes third party payer/insurance portals; has a detailed knowledge of insurance providers, their portals and their expectations for authorization approval

RequirementsExperience

* Minimum 2 years experience working in hospital or other clinical environment. Medical terminology and advanced training in EMR record systems required. Excellent communication and customer service skills required. Must be Bi-Lingual and fluent in Spanish and English.

* Ability to deal with stressful situations and handle multiple demands simultaneously required. Working flexible hours that include evenings and weekend is necessary.

Education

* HS Diploma; Associates Degree in Business, Medical, or Administrative Assistant preferred.

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Public Statement

This health center is a Health Center Program grantee under 42 USC 254b and a deemed Public Health Service employer under 42 USC 233 (g)-(n). No one will be denied access to services at GLFHC due to inability to pay; there is a discounted/sliding fee schedule available based on family size and income.

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