Referrals Specialist at Hawai'i Island Community Health Center

Kailua, Hawaii, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Apr, 26

Salary

19.5

Posted On

18 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Care, Medical Records, Data Collection, Referral Coordination, Preauthorization, Quality Improvement, Risk Management, Interpersonal Relations, HIPAA Compliance, ICD-10 Coding, CPT Coding, Insurance Familiarity, Travel Coordination, Team Collaboration, Patient Satisfaction, Documentation

Industry

Hospitals and Health Care

Description

Starting at $19.50 hourly Join Our Team as a Referrals Specialist! Are you passionate about providing excellent patient care and making a difference in your community? Hawaii Island Community Health Center is looking for a dedicated Referrals Specialist to join our team! Position Summary: As a Referrals Specialist, you will play a crucial role in managing external patient referrals and follow-up in collaboration with the provider and other members of the patient care team. Under the general direction of the Health Services Manager and Referrals Supervisor, you will maintain electronic patient files, respond to and fulfill requests for medical records, and assist in the collection of data. Additionally, you will coordinate travel for patients to and from appointments. Schedule: * Monday-Friday (most weekends off) * Work hours are between 6:00 AM and 6:00 PM, with shifts totaling either 8 hours or 10 hours per day. * Opportunity to work from home on occasions, following work from home guidelines. Benefits Include: * Retirement plan * Medical, Vision, and Dental Insurance * Pet insurance * Paid time off * Employee Assistance Program * Other ancillary benefits Education and Experience: * High School graduate or GED certificate * One year of related clinical office experience and/or training; OR any equivalent combination of experience, training, and/or education Desirable experience includes: * Familiarity with QUEST and other insurance programs * Familiarity with Hawaiʻi Health Care Networks * Knowledge of ICD-10 and CPT coding Key Responsibilities: * Prioritize patient referrals to manage patient flow for maximum efficiency and optimum care provision * Utilize medical records appropriately to document care within the scope of job duties * Coordinate referrals, preauthorization, and follow-up with appropriate external resources * Develop and maintain tracking systems for referrals to outside resources * Actively participate in quality improvement and risk management programs * Participate as an active team member on the patient care team * Engage in continuing education activities * Demonstrate competency in managed care preauthorization for travel * Document appropriately in the patient medical record * Facilitate quality specialty medical, diagnostic, and therapeutic services via appropriate referral and tracking for follow-up * Maintain positive interpersonal relations with physicians, patients, patient families, visitors, and co-workers in a professional and confidential manner * Embrace the philosophy of continuous quality improvement * Maintain a safe, clean, and confidential working environment consistent with OSHA, HIPAA, and HHC standards * Communicate accurate and pertinent information with patient care providers and other members of the care delivery team to facilitate effective and efficient patient referrals and tracking * Apply age-specific/cultural considerations to the referral process * Manage changes in work demand during the workday * Ensure patient/family satisfaction with referral services * Keep supervisor informed of problems or issues; monitor supplies needed; perform other duties as assigned Why Join Us? At Hawaii Island Community Health Center, we are committed to providing high-quality healthcare services to our community. Join our team and be part of a supportive and dynamic environment where you can grow professionally and make a meaningful impact. Apply Today! If you are ready to take on this rewarding role, please submit your application and resume. We look forward to welcoming you to our team!

Responsibilities

The Referrals Specialist will manage external patient referrals and follow-up, ensuring efficient patient flow and optimum care provision. Responsibilities include coordinating referrals, maintaining tracking systems, and participating in quality improvement programs.