Referrals Clerk

La Clinica Del Valle•Medford, OR

10d

About The Position

We’re committed to compassionate care for all. Our patients. Our employees. You. At La Clinica, we love our patients and enthusiastically treat them with the same care, respect, and dignity that we would our friends, family, and neighbors because that's who they are. If this appeals to you, La Clinica might be the right place to build your career. We’re looking for the right team members to treat our patients with this level of care. We extend our commitment to compassionate care to our employees as well. We invest in our employees' lives through competitive pay, comprehensive benefits packages, easy access to wellness, personal and professional development workshops, and a focus on healthy work-life harmony. Check out our careers page to learn more about why our employees love working at La Clinica. The Referral Clerk will screen and support patients in connecting with specialty offices based on medical provider referrals.

Requirements

High school diploma or general education degree (GED)
Excellent interpersonal communication and problem-solving skills
Skills to intervene and promote reconciliation, compromise and positive outcomes in difficult interactions

Nice To Haves

Medical terminology
One year of work experience in medical office setting
Skilled at using electronic health records as applicable to area of work (EPIC)
Bilingual in English and Spanish

Responsibilities

Responsible for closed loop-processing of specialty referrals including: communication with patient, insurance company and specialty referral provider as indicated.
Monitor referrals work queues daily for outgoing referrals and prioritize based on the referral priority set by the ordering provider.
As required, request prior authorization, following the patient’s specific insurance plan’s requirement.
Submit referral requisition and supporting documentation to the specialty provider’s office.
Follow up on referral requests that are pending a specialty consultation report
Inform ordering provider if patient declines, cancels, or fails to show to an appointment.
Maintains relationship and supports communication standards with specialty referral providers.
Navigates internal, and external referral systems and is primary point of contact for patients and families. May assume advocate role on the patient’s behalf with the insurer to ensure approval of the necessary services for the patient in a timely fashion.
Ensures the documentation of patient care in EPIC and is responsible for following workflows that result in capturing activities to meet patient engagement standards as outlined in the APCM program.
Responds to the Referrals-workgroup line in a courteous and professional manner following La Clinica customer service and telephone standards.
Develops and maintains professional, support-oriented working relationships with patients, employees, team members, and community partners. Demonstrates continuous improvement in achieving “developing” and “fully competent” levels of La Clinica’s Behavioral Standards.
Service: I provide, helpful service focused on the needs of others.
Empathy: I welcome and connect with you on a personal level.
Relationships: I create partnerships, working a way that benefits everyone.
Value: I recognize the importance of others and treat everyone with respect.
Excellence: I go above and beyond to deliver an exceptional experience.