Referrals Specialist I- Hybrid- Bilingual English/Spanish

Job Description

Job ID#:

4465

Job Category:

Health Care Administrative Support

Position Type:

Employee (Full Time)

Position Summary:

The Referrals Specialist I is a position that specializes in patient information management for Urban Health Plan. Candidates must be familiar with medical terminology and processes related to insurance verification. The referrals specialists assists in managing Referrals received from the organization into the Referrals Department box. 

This position is hybrid- including both onsite and work-from-home weekly duties. 

Minimum Qualifications

• High School Diploma required.
• 1-2 year of related experience in health care field with understanding of medical terminology and coding required.
• Comfortability working in an environment with high volume of calls. 
• Bilingual Spanish/English required. 
• Excellent communication and customer service skills. 
• Microsoft Office Proficient.

Key Duties:

• Inputs high volume of patient information and ancillary referrals for appointments via phone and fax.
• Reviews patient information for type of specialty, referral reason, ICD-10 diagnosis, medications, etc. Maintains electronic platforms/EMRs, including an not limited to ECW, EPIC, and EQUIPO. 
• Assists with managing reception calls and providing referral action steps. 
• Seeks prior authorization from patient insurance carriers. 
• Responds in a timely manner to patient requests for information and provides appropriate follow-up and timely scheduling. 
• Ensures ongoing compliance with confidentiality standards.
• Contacts external specialists and makes appointments for the patient.

Starting Compensation: Minimum $19.50 per hour; Maximum $19.50 per hour

As a full time associateat Urban Health Plan, you will enjoy:

• Fully funded Health Insurance for yourself.
• 73.5% funded Health Insurance for your family.
• Dental, Vision, and Prescription Coverage
• $50,000 term life Insurance
• 401(k) Retirement Savings (including 3% annual employer contribution)
• Comprehensive time off including paid vacation, personal time, sick time, and paid holidays (including your birthday!).
• Flex Spending Accounts (Health care, Dependent Care, and Commuter Benefits)
• Entertainment Discount Program
• Employee Assistant Program
• Fitness Discounts and Perks through our medical plan. 

Work Environment Type, Location, and Schedule:

Applicants must be comfortable working hybrid, based out of The Bronx and have availability to commit to a schedule of 40 hours per week, working Monday to Friday 8:00 am to 5:00 pm. Candidates must be open and available to working hybrid, working three days onsite and two days from home. 

About Urban Health Plan:

At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, more than 50 years ago. That tradition continues today by promoting excellence in everything that we do. 

UHP is an equal opportunity employer. M/F/D/V. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, gender identity, gender expression, national origin/ancestry, citizenship status, disability, age, marital or family status, and military or veteran status.

Job Requirements

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