Referral Clerk/Patient Services Representative

Mountain Community Health Partnership is seeking a full-time Referral Clerk/Patient Services Representative to support patient care and front office operations. As a key member of our team, you will help patients navigate referrals and specialty appointments while also providing exceptional front desk support.

Key Responsibilities:

As a Referral Clerk:

• Process referrals to specialists, imaging centers, and other healthcare providers.
• Obtain insurance prior authorizations for referred services and proceudres.
• Schedule referral appointments and communicate details to patients.
• Track referral outcomes and ensure follow-up documentation is received.
• Coordinate with providers and clinical staff regarding referral needs.
• Process medical records requests in compliance with HIPAA regulations.

As a Patient Services Representative:

• Assist patients in person and over the phone.
• Schedule, confirm, reschedule, and cancel appointments.
• Verify insurance eligibility and benefits.
• Maintain accurate patient records within the electronic health record (EHR) system.
• Collaborate with clinical, care management, and billing teams.

Qualifications:

• Education: High School Diploma or equivalent.
• Experience: Experience in a medial office, clinic, or healthcare setting. Experience with EHR systems and insurance verification processes. Knowledge of referrals, prior authorizations, or medical record procedures. Knowledge of medical terminology.
• Proficient in Microsoft Office, detail-oriented, excellent verbal and written communication skills, and critical thinking skills. Ability to maintain confidentiality.

Benefits:

• 401(k)
• Employer Paid Health Insurance
• Life Insurance; Group and Voluntary
• Paid Time Off