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Referral Operations Supervisor

Community Health ConnectionsFitchburg, MA

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Overview

Schedule
Full-time
Career level
Senior-level
Remote
On-site
Benefits
Health Insurance
Career Development

Job Description

Essential Duties Major responsibilities:

  • Assures coordination of patient care between CHC provider and specialist by obtaining, verifying, and providing required

information to appropriate parties.

  • Develop training for current and new referral staff
  • Audits on all specialist/diagnostic appointments book to ensure that they are done correctly.
  • Tracking of all booked appointments
  • Supports operations by assisting staff with internal and external communication, and by maintaining necessary document flow.
  • Assures that the process of referrals meets the specific guidelines of all contracted insurance carriers in the appropriate time

frame.

  • Enters and updates information into the medical computer systems, maintains a file of all pending referrals.
  • Institutes a referral tracking process, allowing all clinical support staff to view that information for patients or insurance carrier.
  • Documents all changes in health coverage for CHC patients, and initiates phone/computer contact to other outside agencies

for eligibility, identification and authorization.

  • Arranging appointments, notify member and/or family of appointment date and any special instructions regarding their

appointment.

  • Conducts the training of new/additional staff in the referral processes.
  • Maintains a safe and clean working area at all times.
  • Use of good time management skills.
  • Contributes to the "Team Concept"
  • Actively participate in staff meetings and works toward accomplishing department goals and objectives.
  • Ability to work well with others, accomplishing expected results.
  • Reports to work at the appointed time, adhering to policies and procedures regarding attendance.
  • Displays a positive attitude toward all department providers, supervisors and staff members.
  • Maintains member confidentiality. Be aware of the organization's protocols and adhere to their requirements, included but not

limited to those addressing HIP AA compliance.

  • Demonstrates understanding and commitment to the health center mission.
  • Demonstrates understanding and commitment to the established CHC Values & Standards.
  • Other duties as assigned

Minimum Qualifications:

  • High School Diploma or GED plus required
  • Min. 1 year Supervisor experience
  • Min. 3 years related Referral experience
  • Experience in appointment scheduling.
  • Knowledge of referral process in the Medical office (experience may be substituted for formal training)
  • Basic computer skills required.
  • Good interpersonal skills and ability to work and foster Team environment is required.
  • Certification in Medical Receptionist or Medical Secretary preferred.

Supervision Exercised: Referral Clerks/Assistants and Screening/Prevention team

Competencies: Individual departments may develop competencies which will be communicated and maintained through CHC's

performance evaluation system.

Environmental Working Conditions: The environment is a normal office environment of a busy Community Health Center.

Physical Requirements: The physical and mental demands are representative of those that must be met by an employee to

successfully perform the essential duties of this job with or without a reasonable accommodation. Normal visual acuity and standard

clerical dexterity to operate computers, printers, photocopiers, and fax machines; moderate walking, standing, reaching, and stooping

in order to accomplish everyday office tasks required.

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FAQs About Referral Operations Supervisor Jobs at Community Health Connections

What is the work location for this position at Community Health Connections?
This job at Community Health Connections is located in Fitchburg, MA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Community Health Connections?
Employer has not shared pay details for this role.
What employment applies to this position at Community Health Connections?
Community Health Connections lists this role as a Full-time position.
What experience level is required for this role at Community Health Connections?
Community Health Connections is looking for a candidate with "Senior-level" experience level.
What benefits are offered by Community Health Connections for this role?
Community Health Connections offers following benefits: Health Insurance and Career Development for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Community Health Connections?
You can apply for this role at Community Health Connections either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.