At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day.
Central Maine Healthcare is seeking a Referral Specialist to join our team at the Central Maine Heart and Vascular Institute!
This is a Full Time, benefits eligible position
This position pays $20 per hour!
Position Summary:
Serve as the connecting point for Central Maine Healthcare (CMH) patients and the referring and specialty providers. Provides a comprehensive referral experience to meet the various needs of patients, referring providers, and family members. Adapt to and manage the ever changing and complex services, providers, service locations and initiatives across CMH while providing the highest level of customer service to each patient. Responsible for accurate and complete work based on organization standards, policies and procedures, HIPAA, and compliance with regulatory agencies. The referral specialist performs all functions under guidance and direction from the Office Manager or Operations Manager
Education and Experience:
- High School Diploma Required, Associates degree preferred
- Understanding of medical terminology Required
- 2+ Years of customer Service experience Required
- 2+ years in a Medical Office Preferred
- Previous experience with health insurance and patient billing preferred
Essential Duties:
- Process incoming referrals including managing and triaging the referral que and wait lists
- Be primary contact for urgent referrals,contact urgent referrals w/in 2 business days
- Contact and schedule routine referrals w/in 2 weeks
- Request/process medical records for external referrals, pull missing info from HIN
- Ensure external referrals get generated as backup to the check out position. Make contact, when necessary, to outside providers to ensure external referrals are processed in a timely manner.
- Monitor inpatient discharges to appropriate follow up
- Monitor Procedure (non-inpatient) discharges and follow up for non-CMHVI patients (ie: ED procedures) to ensure continuity of care
- Monitor CMHVI ED patient visits and ensure follow up
- ED referrals for both visits and testing
- Act as the “liaison” for primary care, all referring providers, and direct marketing contacts
- Streamline VA and all outside referrals, and lead Network Integrity project management.
- Primary contact for Primary care referral questions
- Direct marketing contact
- Performs other duties as assigned.
What It’s Like Working At CMH:
We are all about our team members growth and health. That why we prioritize work/life balance, community-based wellness initiatives and tuition reimbursement or student loan repayment for ALL of our team members.
CMH offers a robust benefits package that includes:
Robust Paid Time Off (PTO) program
Medical plan with enhanced Tier 1 benefits provided within the CMH system.
Dental plan
Vision plan
Health Savings Account (HSA)
Basic Life insurance at no cost
Supplemental Life insurance
Long-term disability insurance
401(k) or 403(b) retirement savings plans
Tuition IO partnership for student loan repayment assistance and tuition assistance
Family leave program for Parental Leaves
Comprehensive Wellness Program
Living in Central Maine:
While not at work, our team members enjoy the endless opportunities for entertainment that Maine has to offer. Outdoor enthusiasts can enjoy skiing, boating along the coast and hiking at a state or national park. Centrally located to several popular attractions, residents can embark on day trips to Boston, North Conway, New Hampshire and Boothbay Harbor. Maine is a wonderful place to raise a family, with safe communities and great public and private schools.
About Central Maine Healthcare:
Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.
If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!
What We Do
Central Maine Medical Center (CMMC) located in Lewiston, is a Level II Trauma Center serving Androscoggin County and the surrounding region. CMMC’s “Centers of Excellence” include the Central Maine Heart and Vascular Institute, the Central Maine Comprehensive Cancer Center, the Neonatal Intermediate Care Unit, and a Trauma Services Program.
CMMC is also the southern Maine base for LifeFlight of Maine, the state’s only medical helicopter service. Supported by the latest technologies, CMMC’s skilled professionals provide outstanding care delivered with compassion, kindness, and understanding.
