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