RHC REFERRALS CLERK

Job DetailsJob Location: RURAL HEALTH CLINIC - BURNEY , CA 96013Position Type: Full TimeSalary Range: $19.57 - $24.11 HourlyJob Shift: DayReports To:  Clinic Manager             Employee Type:              EXEMPT             X     NON-EXEMPT   POSITION SUMMARY:   Reporting to the Clinic Manager the Referral Clerk demonstrates a consistent commitment to quality and customer service with patients, staff, and providers. This position is directly responsible for all aspects of the referral process.   This job description is intended to identify some of the primary duties and responsibilities.  Mayers Memorial Hospital District reserves the right to modify, supplement, delete or augment the duties and responsibilities specified in this position description, at MAYERS MEMORIAL HOSPITAL DISTRICT’S sole and absolute discretion.   POSITION QUALIFICATIONS:   High School Diploma or equivalent Computer literate and proficient in Microsoft Office applications Ability to type 40 words per minute. Ability to deal with people in a pleasant and courteous manner, even under stressful conditions. Must be able to read, write, speak, and understand the English language, have accurate grammar and spelling. Must be able to work in a fast-paced environment and maintain patient confidentiality, and be flexible to meet the needs of patients and co-workers. Two years’ experience in a healthcare office preferred Experience with billing and insurance preferred. Knowledge of Medical CPT, HCPCS, modifiers and ICD-10 codes.           General Competencies:   Professional behavior is demonstrated, both when on duty and as a representative of MMHD outside of normal work hours. Ability to work with others, at all levels within the organization, and collaborate effectively. Above-average interpersonal, problem-solving, and written and oral communication skills. A positive working relationship with patients, visitors, and facility staff is demonstrated. Organizational ability and time management is demonstrated. Produces deliverable products on time, within budget with minimal direction. Demonstrates the ability to compile and organize data using Microsoft Office Applications.  Ability to make appropriate recommendations or conclusions, given the data obtained. Maintains an organized set of records, upon request, for the functions that are performed within the scope of this job. Communicates appropriately and clearly to directors, managers, and coworkers. Performs all assigned tasks accurately, to include proper spelling and grammar, reference materials, and minimal mathematical calculation. Takes direction from others to include those employees of other departments with which he/she works on a temporary basis in accordance with the chain of command. Maintains all information as confidential as appropriate, to include payroll, personnel information, and other information obtained during the course of performing job duties that is confidential. Demonstrates ability to effectively use office machines in the performance of job functions. Answers phone calls, assists public, and forwards appropriately if necessary and in a professional and friendly manner. Actively participates in problem resolution. Adheres to strict patient privacy and confidentiality protocols defined in the hospitals policies and procedures. Submits concerns to supervisor that cannot be handled on a person-to-person basis. Creates an environment that enables the hospital district to fulfill its mission and meet/exceed its goals Demonstrate flexibility and willingness to do extra work as needed on an interim basis. May be cross- trained for other positions and may be required to work in those positions as needed. Other duties as assigned.             Specific Responsibilities: Immediately alerts medical staff of any walk-in or phone emergencies. Obtains information needed to facilitate out-going referral requests, and obtains authorization from respective insurances in order to accommodate referral requests.   Obtain treatment authorization requests for incoming clinic referrals in accordance with insurance requirements. Inform medical assistants/providers of any denial of referral or need for additional documentation. Follows up on referral requests ensuring that referred to facility has received referral request. Provide back up to medical assistants on following up on referral status and updating referrals in electronic system.   Scans all referral correspondence into EMR system. Knowledge of physicians/specialists and which insurance they accept Stay current on insurance authorization requirements.   Maintain records of referral by specialist for rural health clinic statistics. Handles phone calls from patients and insurance companies accurately and in a professional manner. Responds to all patient inquiries within two business days. Assists all clinical staff accurately and courteously with questions and concerns regarding patient referrals.   Professional Requirements:   Adheres to dress code; appearance is neat and professional. Completes annual education requirements if applicable. Maintains regulatory requirements. Wears identification while on duty. Attends annual evaluation and participates actively in this process. Reports to work on time and as scheduled; completes work in designated time. Attends all meetings as appropriate. Exhibits the mission, ethics and goals of Mayers Memorial Hospital District in the performance of job duties.   WORKING CONDITIONS:   Willingness to work beyond normal working hours and in other positions temporarily when necessary. Is involved with personnel, visitors and government agencies, etc., when necessary. Must function independently, have personal integrity, have flexibility and the ability to work effectively with other personnel, clients and support agencies.   PHYSICAL REQUIREMENTS:   Sits, stands, bends, lifts, walks and moves intermittently during working hours. Able to lift 20 lbs. Qualifications