Referral Specialist, Hybrid- Northampton
 Cooley Dickinson Medical Group | |
 United States, Massachusetts, Boston | |
| 123 Main Street (Show on map) | |
 Mar 24, 2025 | |
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We are seeking a full-time, 40-hour Referral Specialist to join our team! This is a schedule of Monday-Friday 8:30pm-5:00pm and we are located at 22 Atwood Dr., Northampton, MA 01060. As a hybrid opportunity, this position typically covers 2 days per week on-site and remote for 3 days. The schedule is flexible based on the department's needs.
Employees are expected to be onsite for all hours worked during the first 90 days of employment for onboarding/training. There are options for hybrid work rotation after the successful completion of the training program, based on performance. The Referral Specialist is responsible for ensuring third party payer referral requirements are met. Responsibilities include: Receive and process specialty referral orders from providers or patients using the electronic health record. Ensure timely coordination of specialty care for patients. Verify insurance policy benefit information and obtain authorization/pre-certification, or re-verification prior to the patient's visit or scheduled admission. Give patient and referral information to patients, third party payers, specialists, and other health care providers. Provide guidance to patients and other health care providers as to referral process requirements. Assist providers in obtaining information as needed, including diagnosis codes, procedure codes, and pricing information. Document all referral processing steps throughout multiple stages, as well as patient and coordination interactions, using the electronic health record system. Follow up on pending referrals and work to obtain progress note from specialist. Maintain established organizational and departmental policies and procedures, objectives, confidentiality, quality improvement program, compliance, safety, infection control, and environmental standards. Maintain professional growth and development through attendance at seminars, workshops, conferences or in-services, professional affiliations, or journals to stay abreast of current trends in field of expertise. Meet annual competency and retraining requirements. Attend meetings as required. Perform other functions/duties as requested. Are you ready to bring your talent to this team and join us in moving health care forward? Education High School Diploma or Equivalent required and Bachelor's Degree Related Field of Study preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience scheduling experience in administrative medical office setting 3-5 years required Knowledge, Skills and Abilities - Strong communication and organization skills. - Ability to manage multiple projects and tasks at once. - Attention to detail. - Ability to problem-solve. - Possess time management skills. Mass General Brigham Medical Group Western Massachusetts, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. | |