Referral Clerk

Job Description

Job Description

Description:

Summary : Responsible for the delivery of medical referral services to patients at all Southwest Community Health Center sites. The Referral Clerk works with the Referral Manager and the Director of Nursing Services to ensure timely processing of referral appointments for all medical departments.

SPECIFIC DUTIES AND RESPONSIBILITIES : All duties are subject to accommodation in accordance with the Americans with Disabilities Act (ADA).

• Maintain ongoing tracking and appropriate documentation on referrals
• Addresses referrals in a timely manner
• Ensure complete and accurate registration, including patient demographic and current insurance information
• Assemble information concerning patient's clinical background and referral needs and provide appropriate clinical information to specialist
• Contact insurance companies to ensure prior approval requirements are met
• Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians
• Review details and expectations about the referral with patients
• Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance)
• Be the point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns
• Identify and utilize cultural and community resources to assess with completing referrals as needed
• Establish and maintain relationships with identified service providers referral teams
• Remind patients of scheduled appointments via mail or phone
• Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and other services related to their health
• Other duties as assigned

Qualifications :

• High school diploma, preferably combined with medical assistant certification or previous referral service experience
• Spanish speaking preferred but not required
• CPR / BLS Certified  

Experience : 

• Strong customer service focus
• Effective verbal and written communication skills
• Proficient in working with Electronic Medical Management systems (NextGen, EPIC)
• Able to communicate effectively with clinical team including providers, nursing, and other administrative staff
• Teamwork orientation and able to display good judgment
• Organized and able to manage competing priorities
• Resourcefulness in problem solving and conflict resolution
• Able to complete delegated tasks and displays accountability

Physical Requirements and Work Environment : The physical requirements and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires the manual dexterity sufficient to operate phones, computers, and other office equipment. The position requires the physical ability to kneel, bend and perform light lifting. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials. This person must have the ability to travel as required to work with staff.

Compensation and Benefits

In addition, this position will be eligible for additional benefits consistent with the role. The compensation of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future. 

Benefits Include: 

• Medical insurance 
• Dental insurance 
• Flexible spending accounts (FSA) 
• Retirement plan (403B) 
• Short-term disability insurance 
• Long-term disability options 
• Life Insurance 
• Employee assistance program (EAP)  

Paid Time Off: 

• 14 PTO Days 
• 5 Sick Days 
• 10 Paid Holidays

Notice of AI Use in Job Application Review

As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process.AI may be used to identify patterns, highlight relevant skills, and experience, and assist in comparing a candidate’s qualifications with the requirement of a specific role. These tools are to improve efficiency and consistency while supporting more informed hiring decisions, which will ultimately be made by the hiring team.