Referral Coordinator/Health Information Specialist at Pines Health Services

Caribou, Maine, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Feb, 26

Salary

0.0

Posted On

14 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Care, Medical Records, Communication Skills, Problem Solving, Attention to Detail, Computer Skills, HIPAA Compliance, Insurance Processing, Referral Coordination, Quality Control, Organizational Skills, Teamwork, Patient Interaction, Data Entry, Medical Documentation, Scheduling

Industry

Hospitals and Health Care

Description

Description Join Our Team at Pines Health Services! Are you ready to be part of a fun, engaging, and hardworking team? Voted one of the 2025 Best Places to Work in Maine, Pines Health Services is where you want to be! We have an immediate opening for a Referral Coordinator/Health Information Specialist at our Caribou Health Center. The ideal candidate will demonstrate a strong commitment to our mission, vision, and goals while delivering exceptional patient care. Applicants should be comfortable using computers, possess excellent verbal and written communication skills, be attentive listeners, effective problem solvers, and able to prioritize tasks while working both independently and professionally. Previous healthcare experience is preferred, but we’re happy to train the right person! Position Summary: The Health Information Specialist provides exceptional customer care to Pines Health Services patients, staff, and the community it serves. The Specialist will be responsible for medical record prepping, scanning, and indexing into the electronic medical record as well as release of information requests and medical records release according to the organizations processes. Referral Coordinator Responsibilities: Schedules all patient-physician referrals and most Radiology tests that require appointments/Insurance authorizations and notifies patients of the appointment dates. Processes all insurance referrals for most providers at Pines Health Services. Processes insurance appeals. Receives all phone calls regarding patient referrals in a courteous, accurate, and friendly manner. Completes paperwork for physician approval. Mails, faxes, and electronically sends appropriate paperwork to the referral physician’s office. Mails, faxes, transmits or calls in referral to the insurance company. Sees that all testing requisitions get faxed to appropriate testing facility. Maintains appropriate physician and insurance log for each carrier. Maintains pending results and follow up. Health Information responsibilities: 1. Scans batches of both medical records and/or loose pages and indexes to the appropriate section of the patient's medical history. 2. Reviews medical records for accuracy and completeness. 3. Files and retrieves organized medical records. 4. Manages inbound faxes and indexes into the medical record or routes to the appropriate resource. 5. Manually indexes non-standard documents to the correct encounter and document type. 6. Performs quality control and corrects any errors during the preparation, scanning, and indexing of the medical charts. 7. Responsible for processing all release of information requests for the organization. 8. Answers phones and handles requests for information in a confidential, professional, and reasonable manner. 9. Remains informed of all HIPAA requirements and regulations. 10. Complies with local, state, and federal laws and regulations. Requirements Availability Requirements: Monday through Friday work schedule; occasional overtime as authorized. Education and Experience: High school or G.E.D. equivalent. Contact: For the full job description or additional information, please contact Kelly at (207) 498-1311 or klandeen@carymed.org. Pines Health Services offers a competitive benefits package. You can view the complete details here: Pines Health Services Benefits. Pines Health Services is an Equal Opportunity Employer & Provider

Responsibilities

The Referral Coordinator/Health Information Specialist is responsible for scheduling patient referrals and managing medical records. This includes processing insurance referrals and ensuring accurate documentation in the electronic medical record system.