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METRO COMMUNITY HEALTH CENTER

Referral Specialist

Career Insights for Electronic Medical Records Specialist

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What they do

An Electronic Medical Records Specialist organizes records with patient medical diagnosis and treatment information, and maintains medical record databases. Gathers and reviews data for medical records and assigns codes needed for insurance billing. Uses electronic health records software to manage records and databases.

$58,636 / year median in Pennsylvania

+12% projected growth

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Job Description

Referral Specialist
METRO COMMUNITY HEALTH CENTER - 3.7
Pittsburgh, PA Job Details Full-time 13 hours ago Qualifications Medicare Managed care Electronic health records (EHR) management Phone communication Writing skills Administrative experience High school diploma or GED Medicaid health insurance ICD-10 Medical records Healthcare privacy protection Medicaid Phone etiquette Medical terminology Full Job Description
POSITION REQUIREMENTS
Education/Experience High school diploma or equivalent required. Minimum of 1-2 years of experience in prior authorization, referral coordination, insurance verification, medical office support, or related healthcare administrative work. Experience working with electronic medical records or electronic health records. Familiarity with Medicare, Medicaid, managed care plans, payer requirements, and authorization workflows. Skills/Abilities Working knowledge of medical terminology, CPT and ICD-10 codes, referral processes, and insurance documentation requirements. Strong organizational skills, attention to detail, and ability to follow tasks through to completion. Excellent verbal and written communication skills, including professional telephone etiquette. Ability to manage multiple priorities in a fast-paced clinical office environment. Ability to handle sensitive patient information with professionalism and confidentiality. Preferred Skills/Abilities Certified Medical Assistant credential preferred. Experience in a primary care, family practice, community health, or federally qualified health center setting preferred. Experience coordinating referrals for diagnostics, specialty care, labs, durable medical equipment, home health care, or physical therapy preferred.
POSITION REQUIREMENTS
Education/Experience High school diploma or equivalent required. Minimum of 1-2 years of experience in prior authorization, referral coordination, insurance verification, medical office support, or related healthcare administrative work. Experience working with electronic medical records or electronic health records. Familiarity with Medicare, Medicaid, managed care plans, payer requirements, and authorization workflows. Skills/Abilities Working knowledge of medical terminology, CPT and ICD-10 codes, referral processes, and insurance documentation requirements. Strong organizational skills, attention to detail, and ability to follow tasks through to completion. Excellent verbal and written communication skills, including professional telephone etiquette. Ability to manage multiple priorities in a fast-paced clinical office environment. Ability to handle sensitive patient information with professionalism and confidentiality. Preferred Skills/Abilities Certified Medical Assistant credential preferred. Experience in a primary care, family practice, community health, or federally qualified health center setting preferred. Experience coordinating referrals for diagnostics, specialty care, labs, durable medical equipment, home health care, or physical therapy preferred.