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Full-time
Competitive salaries, Health Benefits, Retirement plan, Paid Time Off, Sick Time, Flexible Spending
Posted 2d ago
~40 hrs/week
Responsibilities
The Referrals Specialist manages the referral process by verifying insurance, obtaining prior authorizations, and coordinating with service providers. They maintain provider directories in the EMR and ensure all necessary medical documentation is transmitted for patient care.
Requirements
Candidates must have at least one year of clerical experience in a health-related field and proficiency in data entry. A pleasant telephone manner and the ability to work under pressure are also required.
Full job description
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
Related keywords
ECWEMRReferralsPrior AuthorizationHealthcareFederally Qualified Health CenterPatient ConfidentialityMedical RecordsInsurance VerificationClerical Experience
The purpose of Cornerstone Family Healthcare, a non-profit organization, is to provide high quality, comprehensive, primary and preventative health care services in an environment of caring, respect, and dignity, and in a cost effective manner that maximizes revenues; to be responsive to the needs of the communities that we serve but with continued emphasis on the under-served and those without access to care regardless of race, economic status, age, sex, sexual orientation, or disability.
Cornerstone is an accredited Patient Centered Medical Home Level III in addition to being accredited by the Joint Commission, earning their Gold Seal of approval.
Our staff of nearly 400 employees includes over 40 Board Certified/Board Eligible Physicians, Dentists, physician’s assistants, nurse practitioners, a large nursing staff, and social work and counseling staff. To better meet the needs of the communities we serve, a large number of our employees are bilingual.
From our humble beginnings, our Health Center now provides more than 25,000 adults and children in our region with comprehensive health care. Last year, we provided primary and preventative health care services totaling approximately 201,000 patient visits.
Offices: 147 Lake Street, Newburgh, New York 12550, US · 91 Blooming Grove Turnpike, New Windsor, NY 12553, US · 100 Broadway, Newburgh, NY 12550, US · 127 Main Street, Highland Falls, NY 10928, US · For Families in Transition, 290 Broadway, Newburgh, New York 13903, US
Internal MedicinePediatricsOb/GynDental CareBehavioral HealthNutritionAddiction RecoveryAudiologyOptometryUrgent Care
How many Customer Service & Support jobs are open in Newburgh, NY right now?
There are currently 67 open customer service & support positions in Newburgh, NY listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Customer Service & Support roles in Newburgh, NY?
Companies currently hiring include Lowe's Companies, Inc., BJ's Wholesale Club, Pilot Flying J, Cornerstone Family Healthcare, Curaleaf, among others. Browse the listings above to see every active employer.
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