Referrals Specialist

Greater Lawrence Family Health Center

Methuen, Massachusetts

JOB DETAILS
SKILLS
Calendar Management, Clinical Facilities, Clinical Trial, Communication Skills, Customer Support/Service, English Language, Family Medicine, Funding, Geriatrics, Hospital, Insurance, Internal Medicine, Multilingual, Nonprofit, Patient Care, Pediatrics, Spanish Language, Third-Party Payer
LOCATION
Methuen, Massachusetts
POSTED
30+ days ago

Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi-site mission-driven non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.

GLFHC is currently seeking a Referral Specialist. The Referrals Specialist performs all functions necessary to ensure patients have been cleared for specialty service visits. Processes prior authorizations, schedules appointments and tracks referrals.

  • Must be able to don appropriate personal protective equipment (PPE).
  • Prepares and processes all referral and pre-authorization paperwork.
  • Contacts various clinics, facilities, companies to obtain information to accurately complete referral and pre-authorization requests.
  • Utilizes third party payer and insurance portals; has a detailed knowledge of insurance providers, their portals and their expectations for authorization approval.
  • Calls patient within 48 hours of initial referral to provide update.
  • Monday-Friday, 8 hour shifts
  • Hybrid schedule

    Qualifications: 

    • Bilingual, Spanish and English preferred 
    • HS Diploma or GED Certificate required
    • Medical or Administrative training.
    • Minimum of one year of experience working in hospital or other clinical environment.
    • Excellent communication and customer service skills required.

    GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.

    About the Company

    G

    Greater Lawrence Family Health Center

    Greater Lawrence Family Health Center (GLFHC), a Federally Qualified Health Center with clinical sites in located in Lawrence and Methuen, Massachusetts, serves over 60,000 unique patients from Lawrence and the surrounding communities of Methuen, Andover, North Andover and Haverhill. It is the second-largest Federally Qualified Health Center in the Commonwealth of Massachusetts.

    Since 1980, GLFHC has been fulfilling its mission “to improve and maintain the health of individuals and families in the Merrimack Valley by providing a network of high quality, comprehensive health care services and by training health care professionals who can respond to the needs of a culturally diverse population.”

    GLFHC is also home to the nationally-recognized Lawrence Family Medicine Residency (LFMR) program, the first family medicine residency program of its kind in the United States. Solely owned and operated as an academic medical residency by the health center, LFMR has graduated close to 200 primary care physicians. The majority of LFMR graduates have either stayed at the health center or have chosen to stay working in low-income, underserved communities in Massachusetts and across the country. In FY2020, LFMR will be home to 42 residents who participate in one of the only 4-year programs in the country as part of a demonstration project conducted by the Centers for Medicaid and Medicare Services.

    COMPANY SIZE
    500 to 999 employees
    INDUSTRY
    Healthcare Services
    FOUNDED
    1980
    WEBSITE
    https://glfhc.org/