Referral Clerk – Full-Time - Temp

Referral Clerk: Full-Time

. Minimum Education: High school graduate or GED equivalent required.

. OB knowledge a plus

· One year medical experience in an office or clinic setting is preferred.

· Bilingual in English and Spanish is preferred.

· Medical Assisting certificate from a credentialed school.

Job Summary: Major Tasks, Duties, & Responsibilities:

· Responsible for scheduling internal and external referrals to specialist.

· Verifies insurance information and schedules appointments for those appointments in Altura Centers for Health.

· Responsible for collecting the information needed, example – fact sheet, progress notes, pertinent labs, x-rays, etc.

· Responsible for informing the clinic patient with the time and date of his/her appointment with the specialist.

· Responsible for inputting referrals into electronic tracking system and continue to update each process example – pending authorization, pending appointment, denied, pending consultation, etc.

· Responsible for follow-up on pending referrals and keep patients informed of the status of referral.

· Responsible to retrieve consultations from specialist for those patients referred outside the facility (Altura) and then complete referral in tracking system.

· Responsible for all Radiology TARS and completing necessary paperwork when submitting to insurance for authorization and follow-up.

· Is part of the Care Team and assists the Medical Assistants to prepare for the morning huddle by updating team on the status of referrals.

· Responsible for submitting for authorization for medication not covered by insurance and tracking those authorizations. Informs Provider if medication was denied. Documents approval or denial in EPM or if in telephone call in HER, if it was a tasked.

· Provides patients with application for drug assistance if available.

· Responsible to call patient when medication for drug assistance has arrived to the facility.

· Responsible to log phone calls made to patients on drug assistance that medication are ready to be picked-up.

· Maintains orderly files.

· Work with medical assistants and other staff to maintain patient information.

· Participates in professional development activities.

· Maintains strictest confidentiality.

· Performs in a professional manner and puts forth their best effort.

· Communicates openly and consistently with Supervisor(s) and all staff.

· Other duties as assigned related to medical records department.

Knowledge, Skill and Abilities:

· Knowledge of the referral processes.

· Develops trust and teamwork with staff and patients.

· Ability to read, understand, and follow oral and written instruction.

· Ability to maintain confidentiality of sensitive information.

· Ability to maintain patient records by filing and/or scanning into EHR.

· Skill to write patient information legibly.

· Knowledge of clinic policy and procedures related to this position.

· Knowledge of grammar, spelling and punctuation.

· Skill in operating a computer, telephone, and photocopy machine.

· Ability to sort and scan materials correctly into patient Electronic Health Records.

· Ability to establish and maintain effective working relationships with patients, staff and the public.

· Ability to react calmly and effectively in emergency situations.

· Cultural diversity and sensitivity knowledge is required.

· Possesses excellent verbal and written communication skills along with a proven track record in effective problem solving.

· Develops trust and teamwork with staff and patients.

· Ability to communicate in a professional manner to patients, public and staff. Must have excellent customer service skills.

· Must have adequate computer skills. Ability to use Microsoft suite of programs and Altura’s health management system.

· Ability to interact with management and staff in a professional manner.

· Ability to react calmly and effectively in emergency situations.

· Communicates openly and consistently with Supervisors and all Altura staff.

· Demonstrates ability to work harmoniously with others to get a job done.

· Attitude promotes positive work environment.

· Respects other co-workers, business partners and patients.

· Maintain strictest confidentiality with regards to HIPAA and Altura administrative information.

Altura Centers for Health retains the right to change or modify job duties at any time. The above job description is not all encompassing. Needs and requirements may vary according to business needs or necessity. Altura Centers for Health is an employer “at-will” and nothing in this document is intended to, nor does, alter the existing “at-will” employment relationship.

Job Type: Full-time

Pay: $18.00 - $29.30 per hour

Schedule:

• Monday to Friday
• Weekends as needed

Work Location: In person