Referral Coordinator at Pines Health Services – Caribou, Maine

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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.

Referral Coordinator Responsibilities:

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. Mails, faxes, and electronically sends appropriate paperwork to the referral physician’s office.
7. Mails, faxes, transmits or calls in referral to the insurance company.
8. Sees that all testing requisitions get faxed to the appropriate testing facility.
9. Maintains appropriate physician and insurance log for each carrier.
10. Maintains pending results and follow-up.

Availability Requirements:

Monday through Friday work schedule; occasional overtime as authorized.

Education:

High school or G.E.D. equivalent preferred.

Contact:

• For the full job description or additional information, please contact Kelly at (207) 498-1311 or klandeen@carymed.org.
• Pines Health Services offers a competitive benefits package. You can view the complete details here: Pines Health Services Benefits.