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Metro Community Health Center
Referral SpecialistMetro Community Health Center • Pittsburgh, PA, United States
Referral Specialist

Referral Specialist

Metro Community Health Center • Pittsburgh, PA, United States
5 days ago
Job type
  • Full-time
Job description

Referral Specialist

Hot Job

Pittsburgh, PA

Overview

Position Type Full Time

Description

POSITION REQUIREMENTS:

Education/Experience

  • High school diploma or equivalent required.
  • Minimum of 12 years of experience in prior authorization, referral coordination, insurance verification, medical office support, or related healthcare administrative work.
  • Experience working with electronic medical records or electronic health records.
  • Familiarity with Medicare, Medicaid, managed care plans, payer requirements, and authorization workflows.

Skills/Abilities

  • Working knowledge of medical terminology, CPT and ICD-10 codes, referral processes, and insurance documentation requirements.
  • Strong organizational skills, attention to detail, and ability to follow tasks through to completion.
  • Excellent verbal and written communication skills, including professional telephone etiquette.
  • Ability to manage multiple priorities in a fast-paced clinical office environment.
  • Ability to handle sensitive patient information with professionalism and confidentiality.

Preferred Skills/Abilities

  • Certified Medical Assistant credential preferred.
  • Experience in a primary care, family practice, community health, or federally qualified health center setting preferred.
  • Experience coordinating referrals for diagnostics, specialty care, labs, durable medical equipment, home health care, or physical therapy preferred.

Qualifications

POSITION REQUIREMENTS:

Education/Experience

  • High school diploma or equivalent required.
  • Minimum of 12 years of experience in prior authorization, referral coordination, insurance verification, medical office support, or related healthcare administrative work.
  • Experience working with electronic medical records or electronic health records.
  • Familiarity with Medicare, Medicaid, managed care plans, payer requirements, and authorization workflows.

Skills/Abilities

  • Working knowledge of medical terminology, CPT and ICD-10 codes, referral processes, and insurance documentation requirements.
  • Strong organizational skills, attention to detail, and ability to follow tasks through to completion.
  • Excellent verbal and written communication skills, including professional telephone etiquette.
  • Ability to manage multiple priorities in a fast-paced clinical office environment.
  • Ability to handle sensitive patient information with professionalism and confidentiality.

Preferred Skills/Abilities

  • Certified Medical Assistant credential preferred.
  • Experience in a primary care, family practice, community health, or federally qualified health center setting preferred.
  • Experience coordinating referrals for diagnostics, specialty care, labs, durable medical equipment, home health care, or physical therapy preferred.
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Referral Specialist • Pittsburgh, PA, United States

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