What are the responsibilities and job description for the Referral Clerk- Behavioral Health position at NOR-LEA GENERAL HOSPITAL INC?
The referral clerk is responsible for maintaining a well-organized work station and documenting benefits, appointments, and orders in the practice management and electronic medical records. Duties and Responsibilities include but not limited to:
- Answers incoming clinic telephone calls with a professional and helpful attitude
- Interfaces with patients and families, physicians and staff
- Check order tracking board daily
- Work on oldest referral ordered and urgent orders daily
- Search for provider in network with patient’s insurance
- Call specialist office to confirm if specialist is in network, ask and follow instructions for fax and provider clinical reviews. If
network referral or if they would like to be referred to a different specialist that is in network with insurance.
- Check on pending referrals up to 3 times per week, if appointment is not scheduled within 2 weeks of being ordered contact
- Scan consultations that have been sent to us from specialist into patient chart, scan outside facility medical records as needed
- Check order tracking board for referrals to see if any referrals were overlooked or put in after original referral was ordered
- Check referral task man messages from nursing team/providers
- If daily work is caught up, take a look at other referral team member order tracking board and help with those referrals as
- Check order tracking board daily, work on oldest referral ordered and urgent ordered referrals daily
- Obtains and verifies patient information regarding Medicaid, Medicare, Sliding Scale, Workman’s Compensation and Private insurance.
- Verify eligibility and benefits, search for provider in network per patient’s insurance
- Check on pending referrals up to 3 times per week
- Make contact with the patient to notify of status of referral if still in pending status after 1 to 2 weeks, document in detail all conversations with specialist office, and patient into patient chart.
VALUES:
i - Innovation
"Forward thinking" "Exploring new possibilities" "Ambitious Goals" Looks out for new and innovative approaches that will improve efficiency. Embraces and champions new ideas and encourages others to do likewise. Recognizes and rewards people and teams who are creative and innovative. This is in sharp contrast to those who tend to embrace the status quo, struggle with new approaches and discourage others when they are creative and innovative in the pursuit of increased efficiency or effectiveness.
C - Compassion
"Friendly countenance" "Servant attitude" "Demonstrating genuine concern" Shows genuine sensitivity to the needs, feelings and capabilities of other people. Deals with others in a pleasant manner. Treats others with respect and consideration. This is in contrast to those who are unpleasant and tend to alienate co-workers, or who seem insensitive to the needs of others and tend to demonstrate a lack of respect for others.
A - Accountability
"Showing integrity" "Leading by example" "Ownership and accepting responsibility" Acts in ways that demonstrate personal integrity and serves as a positive example of why others should trust the motives of the organization. Views himself or herself as a reflection of the organization by following through on commitments and accepting ownership of any mistakes he or she might make. Leaves others with the clear impression that integrity is a core value at this organization. This is in contrast to individuals who make commitments that go unmet, fail to acknowledge their role in disappointing events, or whose actions (or inaction) leave others with doubts about the level of trust that should be placed in the organization.
R - Respect
"Considerate of cultural diversity" "Building trust" "All people are to be valued" Demonstrates a genuine interest in the thoughts, opinions, values and needs of co-workers and customers. Avoids speaking, writing or doing other things that could be seen as disrespectful of people in their absence (or "behind their backs"). Recognizes and shows respect for the strengths and contributions of others. This is in clear contrast to behaviors that leave people feeling that their thoughts, opinions, values and needs are of little interest.
E - Empowerment
"Allowing others to reach their full potential: "Freedom to do what is right for our patients" "Attain and share knowledge to enrich others" Empowered in an intentional manner that allows the person to find their way, yet receiving help when needed. Using good judgment related to the level of authority given and the amount of leeway extended. This contrasts with leaders and individuals who focus more on the risks involved from the empowerment, instead of reaching the full potential of the organization.
ORGANIZATION EXPECTATIONS:
Communication
The process of sending and receiving messages with words, verbally, written or in sign language.
Customer Focus
Identifying and responding to current and future patient and other customers’ needs; providing excellent service to internal and external patients and other customers.
Initiative
Identifying and dealing with issues proactively and persistently; seizing opportunities that arise.
Self-Development
Lifelong, voluntary, and self-motivated learning.
Teamwork
Effectively work and complete assignments in group settings. Works independently and cooperatively with others to achieve common goals.
Skills, Knowledge and Abilities
- Communication skills - oral/written
- Multitasking
- Medical terminology
- Referral policies/procedures
- Health Insurance Plans - ICD-9/CPT codes
- Attention to detail
- Computer skills
- Office equipment
- Legible handwriting
Education
High school graduate or equivalent.
If you are a current employee or have previously worked for Nor-Lea Hospital District, please contact the Human Resources Department at hrgroup@nlgh.org for your correct username and password.
