Referral Coordinator

Referral Coordinator

Pines has an immediate opening for a Referral Coordinator at our Caribou Health Center.

Qualified candidates must demonstrate a strong commitment to our vision, mission, and goals while providing exceptional patient support. The ideal applicant is computer-proficient, communicates clearly both verbally and in writing, listens attentively, solves problems effectively, and can prioritize tasks while working both independently and professionally.

Previous healthcare experience is preferred — but we are happy to train the right person. We encourage LPNs (Licensed Practical Nurses) and Medical Assistants with hands-on clinical practice to apply for this position. Preference will be given to candidates with strong clinical experience in healthcare.

Essential Functions:

1. Schedules all patient-physician referrals and most Radiology tests that require appointments/Insurance authorizations and notifies patients of the appointment dates.
2. Processes all insurance referrals for most providers at Pines Health Services.
3. Processes insurance appeals.
4. Receives all phone calls regarding patient referrals in a courteous, accurate, and friendly manner.
5. Completes paperwork for physician approval.
6. Mail, fax, and electronically send appropriate paperwork to the referring physician's office.
7. Mail, fax, transmit, or call in referrals to the insurance company.
8. Ensure all testing requisitions are faxed to the appropriate testing facility.
9. Maintains appropriate physician and insurance log for each carrier.
10. Maintains pending results and follow-up.

Additional Functions:

1. May be required to fill in for or assist other staff members; therefore, must be familiar with the basic duties of their job.
2. Photocopies and scans as required.
3. Participates in all safety programs, which may include assignment to an emergency response team
4. Perform all other related duties as assigned.

Availability Requirements:

Monday through Friday work schedule; occasional overtime as authorized.

Education and Experience:

Education: High school or G.E.D. equivalent.

Licenses: None

For the full job description or additional information, please contact Human Resources at View phone number on click.appcast.io.

Pines Health Services is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable federal or Maine law.