Medical Referral Coordinator

2 weeks ago

Harrisburg, Pennsylvania, United States HAMILTON HEALTH CENTER INC Full time
Job Summary

Hamilton Health Center Inc. is seeking a highly organized and detail-oriented Medical Referral Clerk to join our team. As a Medical Referral Clerk, you will be responsible for coordinating patient referrals, communicating with insurance companies, and maintaining accurate records.

Key Responsibilities
  • 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 Center Inc. 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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