Referral Clerk

Community Health Centers•Santa Maria, CA

58d•$23 - $25•Onsite

About The Position

Under the direct supervision of the Director of UM and Referrals, the Referral Clerk is responsible for processing specialty referral orders by obtaining insurance authorization, attaching clinical documents, and submitting to specialty offices. The Referral Clerk communicates with patients about referral details and documents in the electronic health record. The Referral Clerk obtains specialist consultation notes and closes referrals. It is the primary purpose of CHCCC to provide the highest quality of total care possible to the patient population it serves. Such a level of quality depends ultimately on the staff's desire and ability to work together, individually, and as a team. The employee is expected to be professional, punctual, maintain regular attendance, cooperative, motivated, and organized at all times.

Requirements

High school diploma or GED required.
Graduation from an accredited school in Medical Assisting or a certified or registered medical assistant (CMA/RMA), or other relevant medical experience.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to respond effectively to the most sensitive inquires or complaints.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of patients or employees of organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to apply sound judgment in understanding to carry out instructions in written or oral form.
Ability to make appropriate job decisions following standard office policies and past precedents.
Experience with word processing, spreadsheets, email, and keyboarding required.
Microsoft Office and Google Suite skills required.
Working knowledge of EHR required.
Possession of current, valid, unrestricted California Driver's License (Class C) required.
Required to pass a criminal history background check and drug screen upon hire.
Annual health examination; annual Tuberculosis skin test clearance or chest x-ray; proof of immunity to MMR, Varicella, and Hepatitis B; proof of Tdap vaccine; during current flu season, must provide proof of influenza vaccine or a signed declination form. If declined, a flu mask is mandatory during flu season.

Nice To Haves

Bilingual - ability to read, speak, and write in English and another language is strongly preferred.

Responsibilities

Selects referrals from assigned site bucket, reviews referral order, and chart documents for appropriateness and completeness.
Contacts patient to confirm referral and advises patient of referral detail.
Obtains insurance authorization for referral and uploads into the electronic health record.
Collates electronic documents relevant to referral order (chart notes, diagnostic studies, authorization) and submits to specialist.
Documents actions in electronic health record.
Selects follow up from assigned site bucket, reviews referral documentation, and looks for associated consultation notes in electronic health record.
Contacts patient to confirm specialty appointment was made, kept, and notes date in electronic health record.
Contacts specialty office to request consultation report, if indicated.
Answers incoming telephone calls from patients or offices and addresses needs of the caller.
Reviews and responds to patient cases as assigned.
Completes chart processing and RAF requests as assigned from the Utilization Management bucket.
Requests consultation notes and/or prescriptions for 340B claims as assigned.
Demonstrates professionalism and provides quality customer service using AIDET Standards.
Ability to work with high volume of patients, internal/external customers, and deal with frequent changes, delay or unexpected events.
Demonstrates adherence to and observes all safety policies and procedures, inclusive of infection control rules and regulations.
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served (infants, pediatrics, adolescents, adults or geriatrics).
Demonstrates knowledge of domestic violence, child and dependent abuse protocols.
Demonstrates cultural sensitivity and competence with patients.
Maintains and adheres to HIPAA, employee confidentiality, and privileged communications (patient, employee, and corporation).