Job summary
This position provides clerical/administrative support in the Referral Management Center for customer service, referral tracking, referral appointing, and reporting activities.Supports the daily functions of specialty care referral appointing, referral review and coordination, beneficiary counseling, and referral tracking at the MTF.
Job seniority: entry level
Responsibilities
• Greets patients/visitors at a front desk, referral center, or office setting.• Answers main office phone line(s) and directs telephone calls to appropriate sections.• Reviews referrals for administrative completeness and researches covered benefits prior to processing.• Determines patient eligibility for services and arranges and schedules medical appointments for referred care.• Provides general instructions to patients and ensures they have necessary documentation for referred healthcare services.• Obtains, updates, and files medical records as needed.• Organizes and researches patient records, extracts needed information, and reviews records for referral results.• Requests medical records and ensures arrival of medical records prior to appointment(s).• Initiates and locates patient medical records as needed.• Obtains documentation as requested by healthcare providers and ensures referral results are returned within required timelines.• Assists with follow-up, written or verbal, as necessary.• Utilizes the referral tracking data collection tool, calculates metrics, and compiles monthly reports.• Orients and trains MTF personnel about the referral process and timelines.• Performs appointing services during peak hours or appointment clerk's absence.• Schedules medical appointments, determines patient eligibility for services, and maintains appointment schedules.• Validates eligibility through appropriate booking and validates basic CHCS patient demographic information prior to booking appointments.• Receives and electronically delivers telephone messages to PCMs and/or clinic nurses.• Ensures referral results are returned to the referring provider in HAIMS.
Requirements
• A fully qualified typist with a minimum of 50 WPM is required.• Demonstrates general medical ethics, telephone etiquette, and excellent communication and customer service skills.• Possesses general office administrative and clerical skills to perform receptionist duties and answer telephones.• Ability to communicate effectively, both orally and in writing.• High school diploma or General Educational Development (GED) equivalency.• Completion of an Administrative Assistant program is desired.• At least 6 months of experience in a medical office setting.
Key Skills Needed
• Typing speed of 50 WPM• General medical ethics• Telephone etiquette• Excellent communication skills• Customer service skills• General office administrative and clerical skills
Benefits
• Dental insurance• Disability insurance• Health insurance• Life insurance• Paid time off• Referral program• Vision insurance
