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Referral Specialist

Company: CCI Health Services
Location: Silver Spring
Posted on: January 7, 2022

Job Description:

CCI Health & Wellness Services is a group practice, empowering patients to partner with staff for an unparalleled healthcare experience. Through integrated teams in a learning environment, we deliver high quality, affordable, care to every patient during all stages of life.

As a member of the health center's integrated care team, the Referral Specialist will fulfill the following KEY FUNCTIONS AND RESPONSIBILITIES towards the provision of patient centered, coordinated patient care:

  • Prepares and processes all managed care referral paperwork.
  • Schedules appointments for specialists when needed.
  • Prepares pertinent information from referring providers to complete referrals.
  • Contacts various offices/facilities to obtain necessary information to accurately complete referral requests.
  • Maintains referral records and files documentation.
  • Process Infant and Toddlers and Child Find programs.
  • Assist with check-out and follow up appointments with PCP.
  • Scan documents into patient chart.
  • Process Breast and Cervical Cancer Diagnosis and Treatment program referrals.
  • Learn and process Catholic Charities/Project Access referrals.
  • Process insurances referrals pre-authorization.
  • Run and follow up with i2i reports.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  • Assists patients to fill out applications for specialty programs.
  • Obtain pre-authorizations for specialist visits / imaging when necessary.

    REQUIRED SKILLS OR ABILITIES:
    • Requires experience and demonstrated abilities for working in a multi-cultural setting.
    • Knowledge of some medical terminology.
    • Ability to collaborate and interact with a diverse group of health care professionals.
    • Ability to initiate and maintain working relationship.
    • Have understand and knowledge of population and community of service area.
    • Good community skills: able to listen well, use language appropriately, and able to communicate in writing.
    • Excellent customer service skills.

      The candidate will travel between Wheaton and Rockville, MD.

      REQUIRED KNOWLEDGE, EXPERIENCE OR LICENSURE/REGISTRATION:
      • High School Diploma or its equivalent, associate degree preferred.
      • Current CPR certification.
      • Bilingual in Spanish and English preferred.

        WORKING CONDITIONS:
        • The ability to distinguish letters and symbols, as well as the ability to utilize telephone, computer terminals and copiers is required.
        • May be asked to lift to or about 25 pounds.
        • Work under stressful conditions within a controlled enclosed environment daily. Work environment involves exposure to potentially dangerous materials and situations that require following extensive safety precautions and may include the use of protective equipment. Required to wear scrubs and occasionally protective barrier clothing during training. This can become uncomfortable in a warm, high humidity room.
        • ADA Category. This position may require prolonged periods of sedentary, stand and/or walk for more than eight (8) hours per day. Those physical movements and the degree of mobility, manual dexterity and hand-eye coordination normally associated with the practice of modern oral hygiene will be performed on a repetitive basis. In accordance with the American with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals. However, no accommodations will be made which may pose serious health or safety risks to the employee or others or which impose undue hardships on the organization.
        • OSHA Category. Clinical environment. Possibility of exposure to chemicals and infectious body fluids e.g., HPV, HIV, HEP C, HSV.

          Working On-site Is An Essential Part Of The Job.

          CCI Health & Wellness Services is a 49-year-old Federally Qualified Health Center is a diverse and inclusive workplace that serves 60,000 medical patients and Women Infant's & Children (WIC) participants in Montgomery and Prince George's Counties. As a 501(c)3 non-profit, CCI is committed to providing high-quality, affordable primary healthcare to every patient across all life stages. Visit www.cciweb.org for more information.

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Keywords: CCI Health Services, Silver Spring , Referral Specialist, Other , Silver Spring, Maryland

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