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REFERRAL & AUTHORIZATION SPECIALIST/FRONT DESK


Full-Time position at our Broad Top Office. Referral and Authorization Specialist that includes Front Desk duties to cover the front office in the afternoon and cover employee absences on a need be basis. The Referral and Authorization Specialist plays a crucial role in ensuring patients receive timely access to specialist care and services. This position is responsible for managing patient referrals, obtaining authorizations, and ensuring the coordination of care within and outside the health center. The Specialist will communicate with healthcare providers, insurance companies, and patients to streamline the referral and authorization process while adhering to the standards of a Federally Qualified Health Center. 


RESPONSIBILITIES:

  • Process and track patient referrals to specialists or external providers.
  • Cover Front Desk, as on a need to basis
  • Coordinate with primary care providers (PCPs) to ensure the accuracy of referral information.
  • Follow up on referrals to ensure timely scheduling and completion of specialist appointments.
  • Obtain prior authorizations for procedures, services, and specialist visits as required by health plans.
  • Welcome patients and visitors (in a professional manner) to the medical office; answer inquiries or refer questions to other staff members.
  • Submit necessary documentation to insurance companies to expedite the authorization process.
  • Track and follow up on pending authorizations to prevent delays in patient care.
  • Schedule appointments for the physicians to optimize patient satisfaction, provider time and the most effective utilization of examining and treatment rooms.
  • Provide patients with detailed information on referrals and authorizations, including any required co-pays or out-of-pocket costs.
  • Register patients, update demographic and insurance information, collect payments and generate receipts.
  • Ensure compliance with HIPAA regulations in handling patient health information
  • General knowledge of all insurance requirements for prior authorizations.
  • Verify patient insurance coverage to determine eligibility for referred services.
  • Strong knowledge of medical terminology, insurance plans, and authorization processes.
  • Proficient in Electronic Health Records (EHR) systems, particularly for referral tracking and documentation.
  • Excellent communication skills, both verbal and written, with the ability to interact with diverse populations.
  • Strong organizational and multitasking abilities, with keen attention to detail.


QUALIFICATIONS:

  • High school diploma or GED required; Associate degree or higher in a healthcare-related field preferred.
  • Minimum of 1-2 years of experience in a healthcare setting, preferably in referral coordination or authorization roles.
  • Experience working in a Federally Qualified Health Center (FQHC) or similar community health environment is a plus.


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FRONT DESK SPECIALIST-MEDICAL


Full-time positions available at our Walk-In Clinic, Mount Union and Southern Huntingdon offices. This individual will be the first point of contact for patients and visitors and plays a vital role in ensuring smooth daily operations and excellent customer service.


RESPONSIBILITIES:

  • Answer phone calls and direct calls as appropriate
  • Schedule appointments and verify insurance information
  • Collaborate with clinical and administration staff to ensure efficient clinic operations
  • Collect co-pays and maintain accurate billing records


QAULIFICATIONS:

  • High-school diploma, post-high school education encouraged
  • Knowledge of computer and general office equipment
  • Strong computer skills and telephone skills
  • Multi-tasking and time-management skills
  • Knowledge of medical terminology

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CURRENT JOB OPENINGS

EXPANDED FUNCTION DENTAL ASSISTANT (EFDA)


Full-time position at our Southern Huntingdon County Dental Clinic. The Expanded Function Dental Assistant (EFDA) works with the dentist to provide direct dental care.


DUITES/RESPONSIBILITIES:

  • Assist the dentist with a variety of clinical procedures, including restorative work, sealants, and other expanded function duties as permitted by state law
  • Take and develop x-rays, ensuring patient comfort and proper safety procedures
  • Sterilize and maintain dental instruments and equipment following strict OSHA and CDC guidelines
  • Document patient treatments and procedures accurately in electronic health records (EHR) following HIPAA regulations
  • Schedule appointments, manage patient records, and assist with other clerical tasks as needed
  • Communicate with dental and medical staff within the FQHC to ensure coordinated patient care


QUALIFICATIONS:

  • Graduate of an Expanded Function Dental Assistant Program with radiographic instruction and clinical experience to carry out required functions
  • State certification and licensure as an Expanded Function Dental Assistant (EFDA)
  • CPR/AED Certification
  • Proficient in taking x-rays, placing sealants, and performing other expanded duties

Updated 11/13/2025
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Please send resume and three (3) professional references to:

Broad Top Area Medical Center, Inc.


Tracey Earley, HR Director

 

EMAIL:

administration@broadtopmedical.com


EMPLOYMENT OPPORTUNITIES

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Please see current available positions:​​​

  1. ​Certified Medical Assistant (CMA)/Licensed Practical Nurse (LPN)
  2. Front Desk Specialist-Medical​
  3. ​Expanded Function Dental Assistant (EFDA)​
  4. ​Medical/Dental Coder & Billing Specialist
  5. Referral & Authorization Specialist/Front Desk

Our website is currently going through maintenance and will be updating soon.


MEDICAL/DENTAL CODER & BILLING                          SPECIALIST

Performs duties to facilitate the timely filing of patient billing and follow up of submitted claims and patient billing. Performs a variety of complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of a variety of problems follows up on submitted claims and patient billing; resubmits claims or resolves problems. Provides diagnostic and procedural coding for billing and referrals. Prepares daily bank deposit and accounts receivable posting. Works with others in a team environment.

SPECIFIC RESPONSIBILITIES:

  • processes billing to patients and 3rd party reimbursement claims; maintain supporting documentation files and current patient addresses.
  • Processes patient statements, key data, post transactions, and verifies accuracy of input to reports generated.
  • Research and respond by telephone and or in writing to patient inquiries regarding billing issues and problems
  • follows up on submitted claims; monitors unpaid claims, initiates tracers; recipients claim as necessary
  • may receive cash items and 3rd party reimbursements; post and reconcile payment to patient accounts
  • balances daily batches and reports; prepares income reports and statistics; distributes reports
  • maintains patient demographic information and data collection systems
  • completes payer enrollment applications
  • participates in development of organization procedures and update of forms and manuals provides backup support for a variety of general clerical duties, including male distribution, and other routine functions
  • may assist in preparing documentation and responses for legal inquiries, litigation, and court appearances
  • provides training to staff regarding billing and coding procedures
  • ensure strict confidentiality of financial reports
  • computer literate, able to use Microsoft Office word and excel
  • performs miscellaneous job-related duties as assigned


 JOB ACCOUNTABILITIES:

  • Responsible for timely and accurate coding and data entry of patient billing information, maintaining a current knowledge of dental, medical diagnostic and procedural codes
  • responsible for timely and accurate preparation and submission of all initial and rebuilt third party insurance or reimbursement claims
  • responsible for the timely and accurate processing of patient and 3rd party payments
  • responsible for balancing receipts and preparing daily bank deposits
  • provide assistance to staff and patients regarding billing issues and problem resolution and a courteous and timely manner


 QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • High School graduate: some college coursework or certified code are preferred
  • two years of current experience and working knowledge and coding and billing functions of third-party payer systems, including Medicare, Medicaid and commercial insurance
  • Medent experience is preferred and Dentrix experience is a plus
  • current knowledge of CDT, I CD10 CM and CPT HCPCS diagnostic coding classification systems
  • demonstrated computer skills: medical office system, spreadsheet and word processing
  • demonstrate well developed written and oral communication skills
  • demonstrated understanding of customer service principles
  • ability to accurately record and transmit detailed information
  • ability to interpret and comply with applicable regulations and insurance requirements
  • ability to exercise good judgment and evaluating situations and making decisions
  • ability to utilize tact and sensitivity to timing and personal transactions

BTAMC, Inc. is an equal opportunity employer and does not discriminate against any employee or job applicant because of race, color, religion, national origin, sex, physical or mental disability, or age.

CERTIFIED MEDICAL ASSISTANT (CMA)

LICENSED PRACTICAL NURSE (LPN)


A full-time positions available for a reliable CMA and/or LPN. The individual will work directly with the healthcare practice staff.


RESPONSIBILITIES: 

  • Recording of initial intake of patient, including:
    • medical history
    • vital signs
    • screening procedures as indicated by protocol and documentation of duties performed to collect test samples, maintain patient records, explain common medical procedures to patients in assist basic examinations.
  • Maintain up-to-date knowledge and continue education in nursing and health care
  • Demonstrate the knowledge and skills necessary to provide care appropriate to the age of patients ranging from newborn to geriatric
  • May also include front office duties as assigned or needed
  • Administering medications and immunizations
  • Must have knowledge and/or experience working with an EMR system
  • Must have strong customer service skills and experience working for a healthcare practice


QUALIFICATIONS:

  • Graduate of an accredited school
  • Current license or certification required
  • Knowledge of medical records guidelines
  • Computer skills and excellent telephone and customer service skills