Referral Clerk

Referral Clerk

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.

The posted compensation range of $26.23 - $29.59 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job ID: View phone number on click.appcast.io Employment Type: Full Time Department: Referrals Hours/Pay Period: 80 Shift: Day Weekly Schedule: Monday - Friday(7:30-4:00pm) Remote: No Category: Billing and Scheduling

As a Referral Clerk, you will be the welcoming face and organizational hub of our clinic, ensuring a seamless and positive experience for every patient. Every day, you will expertly manage patient registration and scheduling, efficiently process patient flow, address billing inquiries, and provide essential clerical support. You'll maintain strict confidentiality, handle financial transactions securely, and remain vigilant for any patient needs, all while contributing to a smooth, on-schedule operation. To be successful in this role, you will possess exceptional organizational skills, a customer-centric approach, meticulous attention to detail, and a proactive ability to manage a fast-paced environment while upholding the highest standards of confidentiality and efficiency.

Receive, track and obtain insurance authorization from insurance carriers. Process physician referral orders (CT, MRI, NUC Med, etc).

Demonstrates knowledge of medical terminology, high proficiency of general medical office procedures and adheres to HIPPA regulations.

Maintain ongoing tracking and appropriate documentation on referrals to ensure patient safety.

Assemble information concerning patient's clinical background and referral needs per referral guidelines, provide appropriate clinical information to specialist. Contact review organizations and insurance companies to ensure prior approval requirements are met.

Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.

Assist patients in problem solving potential issues related to the health care system, financial or social barriers. Addresses questions from patients via telephone related to outpatient appointments and procedures.

Required: High School Graduate or GED 1 year of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle related roles.

Founded in 1951, Dignity Health – Mark Twain Medical Center is a 25-bed, acute care, nonprofit hospital located in San Andreas, California. Serving more than 90,000 patients annually, the hospital offers a full range of services, including cancer care, emergency care, and orthopedics. Mark Twain Medical Center also operates four Family Medical Clinics offering exams, immunizations, and care for minor injuries. Mark Twain Medical Center has been recognized as an LGBTQ+ Healthcare Equality High Performer by the Human Rights Campaign Foundation, and it is the only medical facility in Calaveras County.

One Community. One Mission. One California

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at View phone number on click.appcast.io and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.