Behavioral Health Referral Clerk

Coplin Health Systems•Parkersburg, WV

9d•Onsite

About The Position

The referral clerk is responsible for coordinating all Behavioral Health referrals for patients at Coplin Health Systems.

Requirements

Communication (spoken and written)
Confidentiality (according to HIPAA guidelines)
Professionalism (with patients, colleagues, and others)
Excellent Customer Service
Computer Skills
Medical Terminology
Reasoning Ability
Cultural Competence (sensitivity to the mission of CHS)
Candidates with an NRCMA and/or LPN are strongly preferred.
Candidates with an associate’s degree and experience in referral/patient navigation and/or billing/medical records will be considered.
Candidates with behavioral health experience is strongly preferred.
Security and Background Requirements
Direct Deposit
WVCares Clearance
Drug Screening
Driver’s License

Nice To Haves

Candidates with an NRCMA and/or LPN are strongly preferred.
Candidates with an associate’s degree and experience in referral/patient navigation and/or billing/medical records will be considered.
Candidates with behavioral health experience is strongly preferred.

Responsibilities

Maintains ongoing tracking and appropriate documentation on referrals in the electronic medical records system to promote clinical team awareness and ensure patient safety.
Ensures complete and accurate registration, including patient demographic and current insurance information.
Assembles information concerning patient's clinical background and referral needs.
Contacts review organizations and insurance companies to ensure prior approval requirements are met.
Order necessary labs, imaging, medical supplies, tests, etc. for patients.
Scans and reviews consultation and radiology results in the patient’s chart, notifying providers of any urgent abnormal results.
Keeps patients informed of their appointment dates/times.
Reviews details and expectations about the referral with patients.
Ensures that referrals are addressed in a timely manner.
Assists patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
Serves as the system navigator and point of contact for patients and families and may assume an advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
Identifies and utilizes cultural and community resources, establishing and maintaining relationships with service providers (e.g., DME, Home Health, Oxygen companies) and keeping an updated list of referral providers and facilities.
Ensures that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health.
Performs other duties as assigned, including updating the care team as new specialists are obtained and assisting front desk and medical records.