Clinic Referral Clerk

JOB SUMMARY:    The Referral Clerk coordinates and processes physician referrals, verifies patient eligibility with insurance companies, and submits pre-authorization if necessary. Referral Clerk is also responsible for front office tasks which may include answering phones, scheduling appointments, confirming appointments, scanning, and front desk backup.

ESSENTIAL TASKS/DUTIES:

 (This list is a succinct summary of core duties only. Other tasks will be assigned)

 Manages tasks and supervises personnel involved in the following:

1. Assist with submitting services for prior authorization
2. Obtain and send documents for insurance verification
3. Respond to patient or insurance inquiries
4. Ensure work is performed in compliance with company policies including HIPAA and other regulatory, legal, and safety requirements.
5. Other duties as assigned.

QUALIFICATIONS:

1. Must have a High School diploma or equivalent.
2. Must have at least one year experience in health care.
3. Must have a working knowledge of customary business office machines, as well as personal computers and usual business office software.
4. Must demonstrate effective verbal and written communication skills.