Medical Referral Clerk

3 months ago

Harrisburg, United States HAMILTON HEALTH CENTER INC Full time
Job DescriptionJob Description

Company Overview: Hamilton Health Center (Hamilton), established in 1969, is the only Federally Qualified Health Center (FQHC) located in Harrisburg, PA and continues to grow using a holistic and comprehensive approach to being patient centered. The mission of Hamilton is to improve the health of Central Pennsylvania’s residents by delivering high quality, respectful and patient-centered health and related social services that promote access, treatment, education, and prevention regardless of health, economic, or insurance status. Our vision is that every member of our community, regardless of their ability to pay or their insurance status, receives holistic, quality health care needed to create a healthy community. For over 50 years we have been true to these words. As part of our team, you will work alongside a dedicated team that cares and values those we serve.

Exciting Benefits: At Hamilton, we value our team members and offer a comprehensive range of benefits to make your experience with us exceptional. In addition to your competitive base pay, you'll enjoy a host of exciting benefits, including:

1. Paid Time Off and Birthday Holiday: Take the time you need to recharge and enjoy your special day with our generous paid time off policy. We also give you a paid day off to celebrate your birthday.

2. Comprehensive Health Coverage: Your well-being matters to us. We provide top-notch medical, dental, and vision insurance to keep you and your family in excellent health.

3. Company-Paid Life Insurance: We've got your future secured with company-paid life insurance, providing peace of mind for you and your loved ones.

4. Retirement Plan: Prepare for your future with our retirement plan, ensuring financial security and a comfortable retirement.

5. Employee Assistance Program: Your mental and emotional well-being are important to us. Our Employee Assistance Program offers confidential support to help you navigate life's challenges.

Why You Should Join Us:

  • Be an essential part of a dynamic healthcare environment.
  • Make a real impact on patient care and clinic operations.
  • Collaborate with a dedicated team in a supportive and professional setting.
  • Enjoy a fulfilling role that offers room for growth and development within our organization.
  • Join Hamilton Health Center and play a crucial role in ensuring efficient clinic operations and delivering top-notch patient care.

Join our team and experience the incredible benefits and perks that make Hamilton a standout employer.

What You'll Do:

• Contact insurance companies to confirm DME benefits within 3 business days of receiving DME check

• Use most efficient manner available to obtain DME benefits: phone or portal

• Communicate with patient regarding coverage and patient responsibility

• Document in the EMR all contact regarding DME

• Maintain internal document for DME Check form

• Electronically communicate patient information to insurance companies

• Schedule patients for a DME item within the EMR

• Reviewing the DME schedule for all proper documents, authorizations and DME checks

• Explaining to the MA/PA and the physician why information is needed to complete any of the above

• Check Medicare Portal for Same/Similar

• Knowledgeable regarding benefit details from Insurance companies

• Knowledgeable and/or willing to learn the rules and regulations for paperwork and dispensing DME in a timely manner

• Checking chart notes for other billable diagnosis codes

• Obtain authorizations for all DME, if needed

• Maintain Excel DME tracking sheet

• Collaborate with Providers to ensure excellent patient care

Requirements:

  • Healthcare Knowledge: A fundamental understanding of healthcare services and basic medical terminology.
  • Tech-Savvy: Proficiency in basic data entry computer skills.
  • Strong Interpersonal Skills: Ability to communicate courteously and effectively with individuals from diverse backgrounds.
  • Team Player: An industrious and cooperative nature to foster harmonious working relationships with clinic management, physicians, clinicians, and the public.
  • High School Diploma: High school diploma is necessary or an equivalent

Preferred Qualifications:

  • Completion of an accredited medical assistance program
  • Prior CPR/First Aid certification
  • One (1) year of working experience in medical or physician office setting.
  • Knowledge of The Joint Commission regulations
  • Bi-lingual in Spanish, Nepali, French

Equal Opportunity Employer:

Hamilton Health Clinic is an equal opportunity employer. We are committed to providing an inclusive and diverse work environment where all employees are valued, respected, and have the opportunity to succeed. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, marital status, sexual orientation, gender identity, or any other protected status. All employment decisions are based on qualifications, merit, and business needs.

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