Referral Clerk

Company: Central Valley Indian Health, Inc.
Location: Clovis
Posted on: May 24, 2023

Job Description:

Central Valley Indian Health 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 8:30 AM to 5:30 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:*


1. High School Diploma or equivalent.


2. One year experience in processing medical paperwork and/or claims for patients.


3. Knowledge of CPT, ICD-10 coding and how insurance companies' process claims.


4. Must be computer literate; able to use web-based applications and word processing.


5. CPR Certificate preferred.


6. A valid California Driver's License and clean driving record with the ability to be insured under CVIH's automobile insurance.


7. Awareness and keen appreciation of Indian traditions, customs and socioeconomic needs, or willingness to learn; an ability at times to meet and deal effectively with Indian health organizations consisting of numerous tribes with varied cultures. Tact, courtesy, discretion, resourcefulness, and good judgment in handling functions of a sensitive nature.


8. This is a "Safety Sensitive" position and as such, is subject to random drug testing and is required as a condition of continued employment.


_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._


_Candidates must submit the Central Valley Indian Health employment application in order to be considered for the position._


*Summary:*


This is a full-time position, Monday through Friday from 8:30-5:30.


Job Type: Full-time


Pay: $20.00 - $22.00 per hour


Benefits:

* 401(k)

* Health insurance

* Life insurance

* Paid time off

Schedule:

* 8 hour shift

* Monday to Friday

* No nights

* No weekends

Work setting:

* Clinic

* In-person




Application Question(s):

* Please explain gaps in employment, if any.

* Have we ever interviewed you in the past?


Education:

* High school or equivalent (Required)


Experience:

* processing medical paperwork and/or claims for patients: 1 year (Required)



Work Location: In person

Keywords: Central Valley Indian Health, Inc., Clovis , Referral Clerk, Other , Clovis, California