Job Description

JOB DESCRIPTION 

JOB TITLE: REFERRALS CLERK 

SUPERVISED BY: REFERRALS SUPERVISOR 

STATUS: HOURLY/FULL-TIME – NON EXEMPT

VIA CARE COMMUNITY HEALTH CENTER 

DUTIES AND RESPONSIBILITIES

Obtains information, insurance verification and authorization required for proper patient treatment and referrals. 

• Receive, track and obtain insurance authorization from in-network and out-of-network insurance carriers for New Patient and Follow-Up visits with our medical providers.
• Process physician referral orders (EMG, CT, MRI, etc.) using EMR system. This includes obtaining any insurance authorization needed.
• Coordinate new therapy referrals for insurance plans that require authorization (AHCCCS, work comp, etc). This includes obtaining any insurance authorization needed
• Accurately enter notes into EMR System regarding letters or correspondence from insurance companies regarding insurance authorization or other notifications. These documents should also be scanned into the appropriate patients chart in EMR system.
• Remain updated with therapy & radiology location insurance contracts.
• Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations
• Protects patients' rights by maintaining confidentiality of personal and financial information.
• Maintains operations by following policies and procedures; reporting needed changes.
• Contributes to team effort by accomplishing related results as needed.
• Obtains medical authorizations and referrals for procedures
• Other duties as assigned by supervisor

QUALIFICATIONS

•  High school graduate or its equivalency;
•  Experience in medical front office procedures preferred and knowledge of medical terminology;
•  Ability to always demonstrate the highest level of performance and behavior standards;
•  Excellent customer service skills and ability to effectively and respectfully handle dissatisfied patients;
•  Demonstrated attention to detail, ability to multi-task, and flexibility;
•  Knowledge of standard office machines including copier, fax, multi-line telephone, printers, etc.;
•  Ability to be a team player; support and assist team members.

SPECIAL REQUIREMENTS

•  Valid California Driver License and automobile insurance coverage;
•  Subject to a criminal background check prior to employment; and
•  TB clearance, to be renewed every year.