Referral Clerk/Patient Services Representative

Job Description

Job Description

Mountain Community Health Partnership is seeking a full-time Referral Clerk/Patient Services Representative to support patient care and front office operations. As a key member of our team, you will help patients navigate referrals and specialty appointments while also providing exceptional front desk support. 

Key Responsibilities: 

As a Referral Clerk: 

• Process referrals to specialists, imaging centers, and other healthcare providers.
• Obtain insurance prior authorizations for referred services and proceudres. 
• Schedule referral appointments and communicate details to patients. 
• Track referral outcomes and ensure follow-up documentation is received. 
• Coordinate with providers and clinical staff regarding referral needs. 
• Process medical records requests in compliance with HIPAA regulations. 

As a Patient Services Representative: 

• Assist patients in person and over the phone.
• Schedule, confirm, reschedule, and cancel appointments. 
• Verify insurance eligibility and benefits. 
• Maintain accurate patient records within the electronic health record (EHR) system. 
• Collaborate with clinical, care management, and billing teams. 

Qualifications: 

• Education: High School Diploma or equivalent.
• Experience: Experience in a medial office, clinic, or healthcare setting. Experience with EHR systems and insurance verification processes. Knowledge of referrals, prior authorizations, or medical record procedures. Knowledge of medical terminology. 
• Proficient in Microsoft Office, detail-oriented, excellent verbal and written communication skills, and critical thinking skills. Ability to maintain confidentiality.

Benefits:

• 401(k)
• Employer Paid Health Insurance
• Life Insurance; Group and Voluntary 
• Paid Time Off