Mass General Brigham is looking for a Referral Specialist, Multispecialty to join our team. You will be responsible for ensuring third-party payer referral requirements are met, coordinating specialty care for patients. This is a full-time hybrid role, requiring 2 days per week on-site and 3 days remote after a 90-day onsite onboarding and training period.
What You'll Do
- Receive and process specialty referral orders from providers or patients using the electronic health record.
- Ensure timely coordination of specialty care for patients.
- Verify insurance policy benefit information and obtain authorization or pre-certification prior to patient visits.
- Communicate patient and referral information to patients, third-party payers, specialists, and other healthcare providers.
- Provide guidance to patients and providers on referral process requirements.
- Assist providers in obtaining necessary information, including diagnosis codes and pricing.
- Document all referral processing steps and interactions in the electronic health record system.
- Follow up on pending referrals and work to obtain progress notes from specialists.
- Maintain departmental policies, procedures, confidentiality, and quality standards.
- Maintain professional growth through seminars, workshops, and other educational activities.
- Meet annual competency and retraining requirements.
- Attend required meetings.
- Perform other duties as requested.
What We're Looking For
- High School Diploma or Equivalent
- 3-5 years of scheduling experience in an administrative medical office setting
- Strong communication and organization skills
- Ability to manage multiple projects and tasks at once
- Attention to detail
- Ability to problem-solve
- Possess time management skills
Nice to Have
- Bachelor's Degree in a related field of study
Technical Stack
- Electronic health record system
Benefits & Compensation
- Compensation: $17.36 - $23.92/Hourly
- Comprehensive benefits
- Career advancement opportunities
- Differentials, premiums, and bonuses as applicable
- Recognition programs
Work Mode
This is a hybrid position. The primary location is 22 Atwood Dr., Northampton, MA 01060.
Mass General Brigham Medical Group Western Massachusetts, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.
