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FirstHealth of the Carolinas

Regional nonprofit health system

Referral Center Specialist

Full-TimeDeadline 8/24/27
No salary listed
Entry
Hamlet, NC, USA
In Person
Medical, Clinical & VeterinaryClinical Support & Patient Administration

About the job

Requirements
  • High school graduation is required.
  • Experience with electronic medical record systems is required.
  • Office automation skills are required.
  • Extensive knowledge of CPT and ICD-10 coding and authorizations is required.
  • Strong interpersonal and verbal communication skills are required.
  • Good organizational skills are required.
  • The role requires 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 this technology.
  • Answer phones, route calls, or take accurate messages, and adapt to a phone menu if one is in use.
  • Demonstrate urgency appropriate to the patient's level of distress.
  • Schedule patient appointments with specialty providers, including processing necessary referral forms and transferring 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 complete.
  • 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.

About the company

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FirstHealth of the Carolinas

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FirstHealth of the Carolinas is a nonprofit health system serving central North Carolina. The organization provides hospital, primary, specialty, emergency, outpatient, rehabilitation, and community health services across a regional network. It serves patients, families, clinicians, employers, and communities throughout its service area. Its operating model centers on hospitals and care locations coordinated through clinical programs, physician practices, technology, facilities, and shared operations. Teams work across nursing, physicians, allied health, rehabilitation, technology, facilities, administration, and patient services. Teams support coordinated daily delivery.

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