Referral Clerk

Description

Central Valley Indian Health (CVIH) is seeking organized, detail-oriented candidates for the position of Referral Clerk. This position is responsible for assisting patients by preparing, tracking & processing referrals, consultations, and diagnostic procedures made by a CVIH medical provider. This is a full-time position Monday through Friday from 8 : 00 AM to 5 : 00 PM.

PRIMARY RESPONSIBILITIES :

• Obtain referrals from the provider through the Electronic Medical Record system.
• Obtain current insurance information from patient. Check and complete pre-authorization requirements with the patient's insurance payer.
• Refer patients, who do not have insurance or other alternate resource, to Patient Representative for alternate sources assistance. Communicate with Patient Representative to coordinate referral appointment and processing.
• Obtain all necessary attachments to process an open referral to an outside provider.
• Obtain consultation reports after patient appointment by calling the outside provider or faxing a follow up report.
• Contact outside providers to set up appointments. Notify patients of scheduled appointments by phone and by mailing an appointment letter.
• Communicate and correspond with outside agencies & patients regarding referral submission.
• Document and track referrals following General Referral Guidelines (Fiscal Policies & Procedures).
• Facilitate communication between patients regarding the referral status.
• Perform general office duties; including typing routine correspondence, reports, and prepares documents as required within set deadlines.
• Answer telephone in a courteous and efficient manner; provide information to callers or route calls to appropriate person.
• Attend and participates in staff meetings and other related meetings as assigned.
• Perform or assist PRC staff with other duties as needed.
• Maintain assigned actions and follow-up on due dates.
• Maintain patient confidentiality according to CVIH standards and protocols.
• Communicate in a friendly and professional manner to others. Provide excellent service / support to all patients, employees, and outside contacts.
• Any other duties assigned to the employee by supervisor or CVIH Administration.

Requirements

CVIH is an equal opportunity employer; however, preference in hiring is given to qualified Native American Indians in accordance with the Indian Preference Act (Title 25 U.S. Code, Section 472 and 473). Applicants claiming Indian preference must submit verification of Indian descent certified by tribe of affiliation or other acceptable documentation of Indian heritage. Qualified Veterans must submit form DD214 "Honorable Discharge". A copy must be attached with application.