Referral Clerk I - 34th Street CHC

Clinica Sierra Vista•Bakersfield, CA

5d•$21 - $25

About The Position

Clinica Sierra Vista is seeking a Referral Clerk I to join their team. This role is responsible for the coordination, processing, and scheduling of specialty referrals and prior authorizations for medical services/procedures. The Referral Clerk will work collaboratively with medical providers, nursing staff, and other patient care support staff to ensure patients receive timely and efficient specialty services in accordance with healthcare guidelines. The organization emphasizes patient-centered care and values diversity and inclusivity.

Requirements

Graduation from High School or equivalent GED.
Intermediate computer skills required.
Must adhere to Clinic Sierra Vista’s employee health/immunization requirements or provide a valid exemption request for subsequent approval.

Nice To Haves

Graduate of an accredited Medical Assistant program preferred.
Two (2) to three (3) years medical back office or administrative medical experience in a community healthcare preferred but not required.
Bilingual in Spanish preferred but not required.
Previous experience with specialty referrals in community health desired.

Responsibilities

Schedules, problem solves, communicates, and coordinates referral appointments with outside specialists.
Tracks and enters all referral requests in the Referral Tracking System or EMR daily.
Coordinates with HIM staff to track the status of all provider reports on referred patients and follows up for missing reports/records.
Maintains an accurate record of external referral patient appointments (kept, failed, current status) in the Referral Tracking System or EMR.
Monitors Referral Tracking System or EMR for outstanding provider reports (30 days or older) and follows up with the appropriate provider.
Verifies insurance information for referral purposes and processes insurance information for referral patients.
Provides transportation consultation, coordination, and support to clinic patients referred to specified health care facilities.
Answers, responds, and documents phone calls, requests, and questions from patients in a timely manner.
Utilizes third-party payer/insurance portals and understands their expectations for authorization approvals.
Ensures proper use of CPT and current ICD-10 codes to meet payer and clinic requirements for referral appointments or pre-authorizations.
Utilizes EHR (EPIC) functions to document all pertinent information.
May perform referral tracking process utilizing the HER (EPIC) or other established system.
Performs other duties as assigned.