ABOUT THE ORGANIZATION
Community Health Programs is a network of health centers and caring professionals that provide outstanding primary and preventive care for patients of all ages. What's truly unique to CHP is our broad spectrum of support services that extend beyond medical and dental issues to strengthen families and improve children's well-being. The region is a federally designated rural community and a Medically Underserved Population Area.
Community Health Programs embraces its role as a nonprofit health care provider and community partner. We are a leader in the communities we serve by providing high quality healthcare, dental services, wellness education and family support services. CHP outreach provides free health screenings, insurance enrollment assistance as well as information so people can learn how to take better care of themselves and their families.
Salary Range: $18.00 - $21.00 / hour The Referral and Prior Authorization Specialist coordinates patient care assistance services with various external organizations; manages referrals to specialty providers, surgical and imaging prior authorizations as directed by the primary care providers in the health center including appointment arrangements, which may include notification to a referral resource that an interpreter is needed. Manages relationship between patient and health center with various insurance companies to ensuring compliance with authorization requirements; overseeing electronic referral system in the EMR; performs other administrative duties as requested. This person will support CHPs mission, vision, and values and will adhere to compliance protocols as well as CHPs policies and procedures.
POSITION REQUIREMENTS
Referral Specialist Essential Duties and Responsibilities:
Competencies: To perform the job successfully, an individual should demonstrate the following competencies:
Essential Skills and Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical Requirements:
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
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