Medical Assistant - Referral Clerk

NORTHEAST COMMUNITY CLINIC•Los Angeles, CA

21h•Onsite

About The Position

The Medical Assistant - Referral Clerk has a dual role in supporting back office clinical and administrative operations to ensure smooth and efficient processing of patient healthcare. Administrative duties include verifying eligibility, checking benefits, documenting physician direct referrals and pre-authorizations of certain services (via phone, fax or e-mail), scheduling appointments with specialist and other community resources as instructed by primary care provider. Clinical duties include back office processing and patient care-related services under the direction of the professional staff.

Requirements

Microsoft Office/Word/Excel/Outlook
Excellent Communication Skills
Excellent Customer Service Skills
Bi-lingual Spanish/English preferred
Ability to work as a team player and work independently
Reliable transportation
Must be able to travel from facility to facility
Medical Assistant Certificate or Certified Medical Assistant (Preferred)
Billing Certificate or Understanding of Medical concept
High school diploma or GED equivalent
Minimum 0.5 years of positional experience
Commitment to goals and philosophy of Northeast Community Clinic
Current CPR and/or BLS Certification
Valid State Identification

Responsibilities

Process HMO, CPE, CPSP, and other specialty referrals
Completion of authorization request form
Fax or email referral request to respective IPA/Health Plan, County and etc. along with the required pertinent information to support the request.
Notify patients (if necessary) regarding authorization decision; approved or denied
Schedule appointments with Specialists and notify patients
Follow up status on referrals for completion
No show / reschedule
Follow-up visit(s) either with Specialist or PCP
Consultation Reports
Responsible for filing completed referral forms in the patient medical record
Maintain referral logs per financial class, i.e., HMO, etc.
Weekly report to QM on specialty utilization
Comply with the IPA, Health Plan and/or Programs UM Protocols
Ensures HIPAA Compliance at all times
Work closely with Clinic Medical Practitioners and maintain communication on referral status
Review and maintain referral log
Act as liaison between clinic and managed care department
Interviews and exits patients, completing appropriate medical agency and consent forms, ensuring patient understanding and obtaining signatures.
Document patient intake in the Electronic Health Record (EHR), which includes chief complaint, medical history, social history, vitals, and appropriate tests/labs performed and immunizations administered.
Perform phlebotomy, injections, vitals if deemed by the Medical Practitioner, including but not limited to visual acuity, audiometric screening, venipuncture, injections, and specimen handling
Perform Point-of-Care testing, such as Blood Glucose, Urinalysis, EKG, HbA1c, INR, Blood Chemistry, Pregnancy Test, Bilirubin, and other standard primary care back office procedures.
Assist Medical Practitioners (i.e. physicians, PA-C, NP) with patient examinations and procedures as directed
Coordinate interdisciplinary and integration of primary care medical services with in-house Dentistry, Optometry, Endocrinology, Mental Health services
Review patient medical record to ensure completeness and accuracy
Route appropriate medical orders, results, documentation and instructions to the appropriate personnel
Maintain and stock clinical inventory supply and dispensary
Maintain equipment for clean and operational use, as well as maintain calibration, sterilization, and repair/maintenance logs
Clean, stock and maintain exam rooms.
Follow OSHA and universal precaution protocols
Strict adherence to the policy and procedure manual
Provide or direct patients/individuals seeking information regarding programs and services offered by NECC
Other duties as assigned by Clinic Manager