Referral Clerk Full-time - TEMP

Altura Centers For Health • Tulare, CA

427d • $37,440 - $60,944

About The Position

The Referral Clerk position at Altura Centers for Health is a full-time role focused on managing patient referrals to specialists, verifying insurance information, and maintaining accurate medical records. The clerk plays a crucial role in ensuring patients are informed about their appointments and that all necessary documentation is processed efficiently. This position requires strong communication skills, attention to detail, and the ability to work collaboratively within a healthcare team.

Requirements

• High school diploma or GED equivalent required.
• 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.

Nice To Haves

• Knowledge of the referral processes.
• Cultural diversity and sensitivity knowledge is required.

Responsibilities

• Responsible for scheduling internal and external referrals to specialists.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED