Referral Specialist

Referral Specialist (Full Time )

Location: Mercer County

General Description

The Referral Management Department is designed to minimize the inefficiencies in healthcare delivery that can occur within the system. Referral Management Specialists are accountable for processing and following patient referrals and testing to completion by working collaboratively, encouraging patient compliance, performing outreach, ensuring timely feedback and confirming completion of orders to minimize risk and help eliminate gaps in care with the use of computerized databases and electronic records.

Essential Functions

• Review and process provider orders by gathering necessary records
• Obtain insurance authorizations
• Collaborate with providers, patients, and servicing facilities
• Build and maintain relationships with external facilities for communication and record exchange
• Document information in EMR and Referral Management System
• Perform outreach via phone, fax, and email
• Verify appointment attendance and obtain correspondence from external facilities
• Assist with resolving barriers such as financial aid, transportation, and language interpretation
• Work with clinical staff on same-day emergent orders

Qualifications

• High school diploma or equivalent required
• Certification, associate degree, or healthcare related coursework required
• 2+ years' experience in a healthcare setting required
• Strong customer service focus
• Effective verbal and written communication skills
• Teamwork orientation
• Organized and able to manage competing priorities
• Able to take and follow through with delegated tasks and accountability
• Ability to critically think and problem solve

Location and Hours of Position

PHN Referral Management Department: 62-66 E State Street Sharon Pa 16146

The general office hours for this position are Monday - Friday 8:30am - 5:00pm.

Compensation

Position starts at $16.00 per hour, however, PHN recognizes certification, licensure, experience, education and site location when determining wage.

Benefits

Choosing PHN means more than a job title; its a holistic experience that nurtures every facet of your well-being and aspirations.

• Medical/Dental/Vision (Employee and Family plans available immediately upon start date!)
• Employer Paid Short Term disability
• Employer Paid Life Insurance
• Retirement Plan
• Paid Time Off
• 8 Paid Holidays
• College Savings Plan
• Fitness Center Membership Reimbursement
• ID Shield & Legal Shield
• Volunteer Time Off Program

The Network

The Primary Health Network is the largest Federally Qualified Healthcare Center (FQHC) in the state of Pennsylvania. The mission of Primary Health Network is to enhance the health and well-being of the communities we serve by fostering trust and ensuring that every individual has access to high-quality, compassionate and exceptional healthcare.

With the Joint Commission Accreditation, we adhere to the highest standards of safety and quality in healthcare, ensuring top-notch services that surpass industry benchmarks. Some additional achievements that exemplify our commitment to optimal health and wellness include:

Patient Centered Medical Home Accreditation

Age Friendly Care Health System Participant

HRSA Community Health Quality Recognitions in COVID-19 data reporting, advancing health information technology for quality, and continued implementation of the Primary Care Medical Home care model.

Ranked an impressive #5 in the Government & Non-Profit sector by Inspiring Workplaces of North America for 2023

Primary Health Network is committed to providing equal access to employment opportunities.

If you experience difficulty accessing our careers site or completing an application, or if you require a reasonable accommodation due to a disability, please contact us at recruitment@primary-health.net. Our team will work with you to provide an accessible alternative application process.

Primary Health Network is an Equal Opportunity Employer (EOE)