FirstHealth of the Carolinas

Nonprofit health system in central North Carolina

Referral Center Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeHamlet, NC, USANo salary listedIn-person

About the Job

Requirements

High school graduation.
Experience with electronic medical record systems.
Office automation skills.
Extensive knowledge of Current Procedural Terminology and International Classification of Diseases, Tenth Revision coding and authorizations.
Strong interpersonal and verbal communication skills.
Good organizational skills.
Commitment to excellent customer service when dealing with all types of customers.

Responsibilities

Cross-train and adapt to electronic medical records in a clinic setting, demonstrating progressive efficiency with the technology.
Answer phones, route calls, or take accurate messages, and adapt to a phone menu if one is in use.
Demonstrate urgency in response to a patient's level of distress.
Schedule patient appointments with specialty providers, correctly process necessary referral forms, and transfer patient information.
Review insurance to obtain authorizations for diagnostic testing, office visits, procedures, and other services.
Review clinical data to provide insurance companies with information needed for authorization.
Communicate effectively with the clinical team when an authorization is denied.
Maintain referral records in Epic and ensure referral data fields are completed.
Open and distribute incoming mail to appropriate parties.
Attend meetings as required.

Desired Qualifications

One to two years of medical insurance experience, experience obtaining authorizations and referrals, or medical office experience is preferred.

Overview

FirstHealth of the Carolinas is a nationally recognized health care system located in central North Carolina. Comprised of four hospitals with more than 600 beds, the system also offers leading-edge heart care in the Reid Heart Center, the area’s only dedicated heart and vascular center. Our growing health system has more than 6,200 employees serving in more than 75 locations throughout a 15-county service area. In addition, FirstHealth has received numerous accolades for its patient care and outcomes, including recognitions from Healthgrades, U.S. News & World Report, and Becker's Healthcare.

Must be capable of cross training and adapting to electronic medical records in a clinic setting showing progressive efficiently with this method of technology. Answers phones, routes calls and or takes accurate message. Adapts to a phone menu if one is in use. Demonstrates a sense of urgency relating to patient's level of distress. Schedules patient appointments with specialty providers including the correct processing of necessary referral forms and transfer of patient information. Reviews insurance to obtain authorizations for diagnostic testing, office visits, procedures, etc. Reviews clinical data to provide insurance company with information needed for authorization. Effectively communicates with the clinical team when an authorization is denied. Maintains referral record in Epic. Ensures referral data fields are completed. Opens and distributes incoming mail to appropriate parties. Meeting attendance as required.

Qualifications

High school graduate. 1-2 years of medical insurance experience or experience obtaining authorizations and referrals and medical office experience preferred.

Experience with EMR systems; office automation skills; extensive knowledge of CPT and ICD-10 coding and authorizations; strong interpersonal and verbal communication skills; good organizational skills. Is committed to and demonstrates excellent customer service when dealing with all types of customers.

About the Company

FirstHealth of the Carolinas

Nonprofit health system in central North Carolina

FirstHealth of the Carolinas is a private, nonprofit health system serving central North Carolina through hospital and community care. Its hospitals and clinics combine primary and specialty care, including emergency medicine, cancer, heart and vascular services, rehabilitation, hospice, home care and virtual visits. The system also operates ambulance and critical care transport and community programs, linking acute treatment with support beyond hospital stays. FirstHealth's comprehensive cancer center and dedicated heart and vascular center bring advanced specialty services to the region. Formed in 1995 when Moore Regional Hospital and Montgomery Memorial Hospital joined, FirstHealth is headquartered in Pinehurst, North Carolina.

Company size: 5,001-10,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Pinehurst, NC
Founded: 1995

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