Peak Vista Community Health Centers is a non-profit healthcare organization whose mission is to provide exceptional healthcare to people facing access barriers.  We provide primary care services (medical, dental and behavioral healthcare) through 21 outpatient health centers in El Paso,Teller, Lincoln, Adams, Elbert and Kit Carson counties.  We deliver care with our strong “Hospitality” culture.  Our organization has over 600 employees and serves over 10% of the residents in the Pikes Peak region.  Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Job-Specific Details

Certification: MA certificate or equivalent military experience strongly preferred

Job Summary (Essential Functions)

The referral specialist is key in obtaining medically appropriate services inside and outside of the PVCHC healthcare system. Patient needs are identified through an established referral process by the PVCHC health care system. The referral specialist will determine the most cost-effective avenue to obtain the medically appropriate services based on the patient’s current payor source. This person will be familiar with all payor sources accepted by PVCHC and external providers. This person will utilize all referral processes applicable to the payor source, including pre-certifications and prior authorizations. The referral specialist will follow the proper computer process for referral input/data (EHR) Performs other duties as assigned.

Supervision Received: Care Coordination Supervisor
Supervision Exercised: N/A

Qualifications

Education: Graduate of an accredited Medical Assistant Program desirable. “Registered/Certified” status a plus.

Work Experience: Minimum of 2 years healthcare experience preferred. Front/back medical office experience preferred.

Cognitive Skills (Language, Math, Reasoning Ability): High reasoning, high language skills, critical thinking and critical problem solving skills required.

Computer Skills: Basic computer and keyboarding skills required.

Other Skills: Ability to work with a diverse group of people, handle multiple issues that are time sensitive. Bilingual (Spanish/ASL) preferred.

Certificates & Licenses: MA certificate

Physical Demands

Frequent standing and walking, occasional long periods of sitting, moderate bending, moderate energy requirements, and frequent fine motor skills. Looking at computer screen continuously for long periods of time, hearing within normal range. Must be able to lift 20 pounds.