Referral Clerk

Compensation: $16.00 - $20.00 per hour (depending on experience)

Summary: The Referral Clerk coordinates and facilitates the process of internal and external referrals. This includes interaction with patients, physicians, referral providers and health plans.

Principal Responsibilities:

1. Will participate and maintain a culture within The Corvallis Clinic consistent with the content outlined in the Service and Behavioral Standards Handbook. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within.
2. Prepare referral information received from physicians.
3. Review referral and pre-authorization/registration information for appropriateness of referral.
4. Verify accuracy of referral request or service record and modify patient information as required.
5. Respond to inquiries from providers, patients and staff regarding referrals and registration.
6. Verify Workers Compensation documents for completeness and submit all required documentation per WC protocols
7. Obtain Insurance authorization and schedule Injection series appointments.
8. Provide back-up for the department Surgical Scheduler as applicable per department: Contact patients prior to scheduled surgeries:
9. Ensure all pre-operative tests have been completed and results are posted in patient chart
10. Ensure all pre-operative instructions are clear and address or direct patient questions to the appropriate person.
11. Retrieve surgical reports and dictation from hospital utilizing Epic system for physician review and inclusion in patient’s electronic medical record.
12. Manage portal requests
13. Manage all doctors schedules (block when provider is out, move patients who need to be moved, make sure that the template is followed, maintain waitlists)
14. Manage hold documents in Athena

Education/Licensure/Experience:

1. One or more years of successful experience in referrals and/or pre-authorization/medical office work and OR Minimum of two years’ experience in dealing with managed care protocols, required. 
2. 1-year experience in a medical office, front desk position with referral experience, required. 

Knowledge and Skills:

• Excellent organizational and prioritization skills.
• Knowledge of medical terminology.
• Knowledge of referral process and authorization process of all contracted insurance plans and maintain working knowledge of Oregon Health Plan and Medicare.
• Computer input skills and word-processing skills.
• Ability to assess and evaluate medical information.
• Knowledge of managed care benefits.
• Excellent verbal and written communication skills.
• Knowledge of provider contracts.
• Ability to work compatibly with the public and other staff members.