Referral Clerk

Military Health Research Foundation•Portsmouth, VA

11h•$21•Onsite

About The Position

Military & Health Research Foundation (MHRF) is seeking a qualified Referral Clerk to support a government healthcare contract at Naval Medical Center Portsmouth, Virginia, within a Department of Defense (DoD) medical treatment facility. The selected candidate will manage patient referral processes, including coordinating specialty care appointments, processing consults, tracking authorizations, and maintaining accurate records in accordance with contract requirements and clinical workflows. This role requires strict adherence to HIPAA, TRICARE, and DoD regulatory standards, ensuring timely and accurate handling of referrals to support continuity of care. The ideal candidate will demonstrate strong organizational and communication skills while collaborating with providers, case managers, and external networks in a fast-paced environment. This position requires a dependable professional who can meet government credentialing, security, and onboarding requirements while contributing to mission readiness and high-quality patient care for service members and eligible patient populations.

Requirements

US Citizen
Basic Life Support (BLS)
High School Degree or GED
Medical terminology
Ability to meet government credentialing, security, and onboarding requirements.
Strong organizational and communication skills.
Ability to collaborate with providers, case managers, and external networks in a fast-paced environment.
Dependable professional.

Nice To Haves

Experience supporting a government healthcare contract.
Experience within a Department of Defense (DoD) medical treatment facility.
Familiarity with MHS GENESIS system.

Responsibilities

Manage patient referral processes, including coordinating specialty care appointments, processing consults, tracking authorizations, and maintaining accurate records.
Ensure strict adherence to HIPAA, TRICARE, and DoD regulatory standards.
Review referrals for administrative completeness and research covered benefits prior to processing.
Determine patient eligibility for services and arrange and schedule medical appointments for referred care.
Provide general instructions to patients and MTF personnel regarding referral procedures.
Ensure referral results are returned to the referring provider and to the medical record within required timelines.
Assist with follow-up, written or verbal, as necessary.
Utilize the referral tracking data collection tool.
Calculate metrics and compile monthly reports.
Utilize the MHS GENESIS system to retrieve external medical documentation (Clear and Legible Reports - CLRs) and upload results into the patient’s chart.
Utilize telecommunications technology to collect external documentation by contacting outside clinical practices.
Communicate with providers regarding CLRs if they are incorrect or need additional context.
Review referral notes, including consultation, operative, and discharge summaries, for TRICARE Beneficiaries referred to external providers.
Chase external notes from network providers for patients to upload into the patient chart.
Respond to provider queries regarding external provider notes and documentation.
Utilize the referral tracking data collection tool within MHS GENESIS and discern reporting system to measure the amount of outstanding CLRs.