About the Role
The Referral Management Clerk handles incoming and outgoing patient referrals within a healthcare environment, ensuring compliance with insurance requirements and timely processing to support patient care coordination.
Responsibilities
- Process patient referral requests from healthcare providers
- Verify insurance eligibility and referral requirements
- Enter referral data accurately into electronic systems
- Communicate with medical offices to obtain missing documentation
- Follow up on pending referrals to ensure timely resolution
- Maintain confidentiality of patient health information
- Coordinate with insurance representatives when necessary
- Track referral status and update internal records
- Assist in resolving referral denials or delays
- Ensure compliance with HIPAA and other regulations
- Respond to provider inquiries about referral status
- Support timely patient scheduling based on referral approval
- Review referral packets for completeness and accuracy
- Escalate complex cases to supervisors as needed
- Generate reports on referral processing times
- Maintain organized digital and physical referral files
- Adhere to established workflows and processing guidelines
- Assist in audits related to referral documentation
- Collaborate with internal teams to streamline referral processes
- Stay current with changes in insurance referral policies
Compensation
Competitive hourly rate based on experience
Work Arrangement
Hybrid work model with on-site and remote options
Team
Part of a healthcare operations team focused on patient access
Application Process
- Interested candidates must submit a resume and cover letter.
- Shortlisted applicants will be contacted for a phone interview.
- Final candidates may be required to complete a skills assessment.
Background Check
- Employment is contingent upon successful completion of a background check.
- Includes verification of employment history and criminal record.
Not available for this position
