Squirrel Hill Health Center · 1 day ago
Referral Specialists Community Health
Brentwood, PA
Full-time
Onsite
New Grad, Entry LevelSquirrel Hill Health Center is dedicated to providing high-quality, patient-centered care, and they are seeking a Referral Specialist to support primary care teams. The role involves managing referrals, tracking orders, facilitating prior authorizations, and engaging with patients to ensure continuity of care.
DentalHealth CareHealth InsuranceMedicalPharmaceutical
Responsibilities
Review referral orders and ensure all necessary documentation is included to facilitate transmission of orders with minimal delay
Manage closed loop referrals from outbound order processing to the receipt of inbound documentation to reflect care was provided
Prioritizes meeting with patients at their visits to provide all information needed to schedule referrals
Perform order tracking and follow up for specialty referrals, imaging (and other) orders to ensure timely completion and assist with any identified barriers to care
Communicate with payers/health plans and external agencies to provide necessary information and utilization review data to facilitate timely prior authorization processes and documentation
Work to educate patients to enable them to independently schedule referrals
Assist with patient scheduling processes and communication with patients to provide the information needed to promote continuity of care across the continuum
Interact with patients in an effort to understand and address patient needs and preferences in a culturally competent manner
Assist in identifying SDOH risk factors and aid in connecting patients to appropriate internal services and resources
Promote closure of Care Gaps through targeted communication campaigns
Utilize patient engagement strategies and appropriate communication portals to help route patients to the appropriate member of their primary care team
Collaborate with members of care team(s) and maintain timely, accurate, and appropriate HIPAA-compliant documentation in EJR (and other HIT/internal communication systems) per established protocols and best practices
Participate in team huddles and meetings as appropriate
Maintains accurate scheduling resource information
Reaches out to specialists to confirm that contact information and patient requirements are current for both insured and uninsured patients
Establishes and maintains effective, professional working relationships with all internal and external customers, including other healthcare offices and facilities
Required to work on-site and travel to all SHHC locations as needed and as directed by management
Other duties as assigned
Possess a professional, positive, team-oriented attitude
Provide a positive patient-centered experience for every patient
Consider safety of patients a priority and works to support a safe patient experience
Adhere to professional scope of duties and responsibilities
Refrains from providing any clinical advice and/or making clinical judgements
Escalates to appropriate clinical team members in a timely manner
Maintain a current, up-to-date knowledge of Squirrel Hill Health Center’s policies and procedures
Create and maintain an efficient, highly productive work environment
Engages others and models positive behaviors of team-based care philosophy
Qualification
Required
All CDC recommended immunizations, including updated COVID-19 vaccines
Must be 18 years or older
High School Diploma or equivalent
Ability to perform routine assignments independently
Demonstrates attention to detail and organizational skills
Excellent communication skills – verbal & written
Preferred
Previous healthcare experience
Previous experience working with electronic scheduling systems
Previous experience with electronic medical record systems
Familiarity with basic medical terminology
Basic knowledge of healthcare insurance (related to benefits, authorizations, and referrals)
Basic knowledge of healthcare related data and reporting
Bilingual (Spanish/English)
Company
Squirrel Hill Health Center
Squirrel Hill Health Center offers medical, behavioral health, women's health, pharmacy, insurance, care navigation, and dental services.
Founded in 2006Pittsburgh, Pennsylvania, USA
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Erica McCorkle
Executive Assistant to the Chief Executive Officer (CEO)
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