Referral Clerk

Referral Clerk

Evergreen Family Medicine is committed to providing excellent care for your family with clinics in Roseburg, Sutherlin and Myrtle Creek Oregon. Evergreen Family Medicine serves outpatient needs, including Urgent Care, Family Practice, Women's Health, Occupational Health, and school-based telehealth.

Evergreen Family Medicine is a Drug Free Workplace. All candidates that are offered employment will be required to pass a pre-employment drug screen and background check.

Responsibilities and Duties :

• Maintains confidentiality according to HIPPA regulations and EFM policies.
• Adheres strictly to EFM departmental standards and policies, including state and federal regulations.
• Communicates effectively and professionally with coworkers, managers and patients via phone, email or in person.
• Receives and coordinates all referrals and prior authorization requests, submitting appropriate information in a timely manner.
• Maintain current knowledge of all insurances including verifying benefits and eligibility for OHP, DCIPA & Atrio including PCP assignment.
• Advocates for patients by creating appropriate patient cases, requests, communications and appointments in Athena, on paper and in person.
• Maintains current working knowledge of medications, procedure and diagnosis codes with the ability to ascertain medical necessity requirements.
• Communication with outside provider offices, facilities and insurances via phone, fax and computer.
• Keeps an active working knowledge of Athena, engages in continuing education and trainings as offered by manager or company.
• Self Manages to stay on task, maximizes efficiencies and does not distract others as well as encourages others to do the same.
• Maintains a positive attitude, does not take work issues personally and does not allow personal issues to affect the work day.
• Ensures on a daily basis to promote an environment filled with teamwork, a positive outlook and constant professionalism.

Qualifications and Skills :

Physical requirements :

Our culture and values are every employee's responsibility : The needs of our patient come first S.P.I.R.I.T