Community Health is a primary care network serving the Rutland and southern Addison County region with medical, dental, behavioral health, pediatric, and walk-in care services.
The Referrals Specialist manages the end-to-end processing of patient referrals, orders, and diagnostic requests. This role serves as a liaison between primary care providers, patients, facilities, specialist offices, and insurance companies to ensure care is timely, authorized, and properly documented.
Key responsibilities include communication with patients and providers, processing outgoing referrals and orders, coordinating diagnostic imaging requests, verifying insurance coverage, obtaining pre-authorizations or pre-certifications, and maintaining accurate tracking in the electronic health record. The role also supports required reporting and documentation in accordance with organizational, state, and federal requirements.
High school diploma or equivalent required; associate degree preferred.
- Three years of experience preferred as a referral specialist or in a similar healthcare role
- Knowledge of medical billing and coding
- Experience using electronic medical record systems
- Proficient computer skills
- Strong customer service skills
- Ability to identify problems and recommend solutions
- Clear and professional communication skills
- Ability to work independently and prioritize multiple responsibilities
Benefits and perks include:
- Work-life balance
- Generous time off
- Medical, dental, and vision insurance
- Health savings account option
- 403(b) retirement savings plan with employer match and 100% vesting schedule
- Comprehensive wellness program
Location
Vermont, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago