Referral Clerk/Patient Services Representative
Mountain Community Health Partnership•Spruce Pine, NC
•Onsite
About The Position
Mountain Community Health Partnership is seeking a full-time Referral Clerk/Patient Services Representative to support patient care and front office operations. As a key member of our team, you will help patients navigate referrals and specialty appointments while also providing exceptional front desk support.
Requirements
- High School Diploma or equivalent.
- Experience in a medical office, clinic, or healthcare setting.
- Experience with EHR systems and insurance verification processes.
- Knowledge of referrals, prior authorizations, or medical record procedures.
- Knowledge of medical terminology.
- Proficient in Microsoft Office.
- Detail-oriented.
- Excellent verbal and written communication skills.
- Critical thinking skills.
- Ability to maintain confidentiality.
Responsibilities
- Process referrals to specialists, imaging centers, and other healthcare providers.
- Obtain insurance prior authorizations for referred services and procedures.
- Schedule referral appointments and communicate details to patients.
- Track referral outcomes and ensure follow-up documentation is received.
- Coordinate with providers and clinical staff regarding referral needs.
- Process medical records requests in compliance with HIPAA regulations.
- Assist patients in person and over the phone.
- Schedule, confirm, reschedule, and cancel appointments.
- Verify insurance eligibility and benefits.
- Maintain accurate patient records within the electronic health record (EHR) system.
- Collaborate with clinical, care management, and billing teams.
Benefits
- 401(k)
- Employer Paid Health Insurance
- Life Insurance; Group and Voluntary
- Paid Time Off
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
