Referral Clerk I

Teche Health, A Federally Qualified Health Center, per Section 330 of the Public Health Service Act, is currently seeking qualified applicants for the Referral Clerk I Position in Franklin, Louisiana. 

JOB SUMMARY:

The Referral Clerk I organizes, schedules, coordinates, and tracks patient referrals to specialists, healthcare agencies and outpatient facilities. They work closely with provider staff, clinical support staff, patients, and insurance carriers to ensure timely processing of clinical referrals. Must have knowledge of, or the ability to develop skills to navigate internal and external patient electronic health record systems and RadMd. 

JOB DUTIES AND RESPONSIBILITIES:

• Coordinate and schedule patient referrals to specialist providers and health care agencies according to Policy and Procedure.
• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
• Ensure complete and accurate patient demographic and current insurance information.
• Receive request for clinical records and ensure all requested records are sent. Assemble information concerning patient's clinical background and referral needs; provide appropriate clinical information to specialist.
• Contact insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis.
• Review details and expectations about the referral with patients. Communicate clearly with the patient who the patient is being referred to and why, what their insurance will cover and whether there are co-pays or other charges, what documentation needs to be done prior to the visit, and what information to bring to visit. Inform uninsured and underinsured patients of all