Patient Access Lead Referral Clerk

Overview

Review Insurance and Benefits, send to appropriate dept to have patients be scheduled. OSHA Bloodborne Pathogens Class I..

• • Education: High School Graduate or equivalent
  • Personal job-related skills: Verbal and written communication skills.
  • Licensure, registry or certification: None Required.
  • Prior
    
    Work Experience:
    
    One year with medical clinic environment
  • Technical Training:None Required.
  • Physical and Mental Requirements: Duties of the position require intermittent walking, sitting and standing. Some bending, stooping and reaching is required with the lifting of items up to a weight of 20 pounds. The ability to comprehend and follow routine written or verbal instructions.

• Receives internal and external referrals to run eligibility and benefits
• Receives referral form from medical provider to provide continuity of patient care.
• Obtains insurance information and contacts carrier for authorization if appropriate.
• Obtains benefit information and estimation to provide to the patient their responsibilities for upfront collection.
• Calls requested consultant to schedule an appointment within timeframe indicated.
• Assist in training new employees and new processes
• Assist in maintaining all scheduled surgeries and sleep studies in Supervisor pending bubble and address out as time allows
• Be available to answer questions or concerns from other staff and patients when supervisor is unavailable.
• Assist with investigating and working denials
• Assist with all other duties as assigned by supervisor/director
• Copies all pertinent medical records and mails or faxes to consultant
• Cross trains to provide support to business office and medical records

• Maintains confidentiality while working with confidential matters on a daily basis.
• Adheres to Hamilton Healthcare System’s Behavioral Standards.
• Emulates the customer service expectations for Accountability, Respect, Integrity, Service, and Excellence.
• Maintains HIPAA compliance at all times.
• Abides by the Hamilton Healthcare System Personnel Policy and Employee Handbook.
  Performs all other duties as assigned.