[Hiring] Referral Specialist @Penobscot Community Health Care

Role Description

Ready to be the go-to person who helps patients access the care they need—when they need it most? If you're highly organized, skilled at follow-through, and bring experience in a medical office or healthcare setting, we want to hear from you! PCHC is looking for Referral Specialists to join our growing, mission-driven team. In this vital role, you’ll help patients navigate the referral process and connect them with the specialty care and services they need. We’re looking for someone who’s resourceful, detail-oriented, and passionate about making a real impact. If that sounds like you, apply today and help us deliver care that truly connects.

Schedule:

• Full-Time, Monday-Friday, 8:30am-5pm
• Remote work possible after successful completion of 6 month training period and productivity assessment in Bangor, Maine. Candidate must be eligible per PCHC's Telecommuting Policy.

Highlights of the position:

• Provides excellent customer service to our patients, staff, and external customers by demonstrating friendliness, helpfulness, and proficiency.
• Accurately and efficiently processes referral and prior authorization requests of all kinds. Verifies insurance benefits to ensure services are covered.
• Liaisons and acts as point of contact with outside specialty offices regarding referrals.
• Properly scans, imports, and processes patient health information related to referrals, ensuring all work is appropriate, compliant, and all protected information redacted.
• Is a good steward of health information management. Understands and follows applicable HIPAA laws and regulations and PCHC medical records policies.
• Assists in maintaining compliance with quality assurance standards.
• Engages and supports patients to ensure they feel heard, respected, and involved in their care and experience.
• Collaborates with Health Information Management teams and clinics to improve the patient experience and referrals processes.

Qualifications

• High school diploma or equivalent required.
• Associates in Medical Office Technology, Health Information Management or other relative post-secondary degree is preferred.
• Experience and proficiency using computer programs and software required.
• At least one year of experience in a customer service setting required.
• Two years of experience in a healthcare office setting strongly preferred.
• Completion of a Medical Terminology I course preferred.

Benefits

• Join PCHC's nationally recognized non-profit organization.
• Federally Qualified Health Center offering integrated Medical Home Model.
• Collegial professional atmosphere with informed leadership.
• Flexible schedules supportive of work/life balance.
• Competitive compensation and generous benefits.
• PCHC provides comprehensive, patient-centered care with integrated services, including Psychiatry & Mental Health, Dental, Family Medicine, Pediatrics, Pharmacy, Geriatrics, Laboratory Services, Physical Therapy, and more!