Referral Specialist

(PC AA-5020-090)

About FCHC:

Since 1976, Florida Community Health Centers, Inc. (FCHC) has been a health care leader in Florida. We provide comprehensive primary and specialty health care and patient support services through a network of Centers surrounding Lake Okeechobee and across Florida’s Treasure Coast. Our mission is to ensure that everyone in our communities has access to culturally competent, high-quality health care that they can afford. FCHC has locations in Clewiston, Moore Haven, Okeechobee, Fort Pierce, Port St. Lucie, Stuart, Indiantown, Pahokee and West Palm Beach. FCHC’s Corporate Office is centrally located in West Palm Beach, Florida. FCHC has multiple staff members who speak Spanish and Creole, and translation is available for other languages as needed. FCHC has created a “one-stop shop” for patients–providing Pediatric and Adult Primary Care, Dental, OB/GYN and Women’s Health, Infectious Disease, Behavioral Health, Pharmacy, chronic disease education and care management, referral assistance, benefit enrollment assistance and coordination, and telehealth services. Our patients benefit from a “medical home” model, where they may access our extensive array of health care clinicians and services in an atmosphere where they are treated with respect, care, and concern.

Mission

The Mission of Florida Community Health Centers, Inc. (FCHC) is to provide accessible, cost-effective, high-quality, comprehensive health care to all persons in our communities.

Vision

Florida Community Health Centers, Inc. (FCHC) will maintain strong leadership in, and advocate for, the provision of health care services.

FCHC will foster and promote collaborative relationships and will develop partnerships with local, state, and federal public health service agencies and the community in general, to enhance the quality of delivery systems for comprehensive health care. FCHC will be an employer of choice and will demonstrate excellence with a highly trained staff and governing board.

Values

FCHC values Integrity, Compassion, Commitment to serving others (external and internal to the organization), Innovation, Effectiveness (cost and outcome), Efficiency, being Mission-driven, Commitment to serving others internal to organization and Commitment to Excellence.

Position Summary: The Referral Specialist is responsible for coordinating and completing referrals ordered by FCHC providers, acquiring and verifying third party information for referrals, obtaining and arranging referral appointments. Tracking and maintaining reports in the Athena system when referrals are completed, no showed or refused and maintain referral follow ups.

Referral Specialist – Primary:

• Coordinate all aspects of completing referrals ordered by FCHC providers (i.e., obtain pre-op authorizations and insurance authorizations.
• Contact patients once authorization obtained.
• Arrange referral appointments ensuring proper paperwork is faxed to specialist for appointment per orders (i.e., labs, x-rays, comp notes).
• Track referral “no shows”, in the medical record and bring to the attention of the ordering physician.
• Maintain communication with the provider and patient regarding the most appropriate specialist to refer to in each case.
• Maintain specialty provider list including payor sources they accept.
• Input referrals into i2i tracking system and generate referral form.
• Make appropriate notations in the medical record and bring to the attention of the ordering Provider and/or Center Clinical Director any problems regarding obtaining referrals including: Obtaining authorizations from third party payors.

Making appointments with a specialist. Patients refusing a referral. Patients not showing at a referral appointment.

Minimum Qualifications:

• High school diploma or
• Proof of satisfactory completion of an approved medical assistant program or nursing assistant program; or one (1) year of experience in a medical related field.
• Registered and Certified Medical Assistants must maintain current RMA/CMA
• Current CPR
• Valid Florida Driver's License

Skills and Abilities:

• Ability to maintain confidential
• Interest in and ability to work with people of all socio-economic

This job description is not intended to be all-inclusive, and the employee will also perform other reasonable related business duties as assigned by supervisor.

• This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

Ability to Relocate:

• Okeechobee, FL 34972: Relocate before starting work (Required)

Work Location: In person