Lead Referral ClerkSSTAR • Fall River, MA, US

Lead Referral Clerk

SSTAR • Fall River, MA, US

3 days ago

Job type

Full-time

Job description

Job Description

We're more than just quality treatment for substance use disorders. We're a total health community. At SSTAR, our mission is healing the community, one person at a time. We will provide a personal level of healthcare and addiction treatment that addresses the mental, physical, and spiritual well-being of everyone we touch. SSTAR is a Federally Qualified Health Center (FQHC) which affords our employees eligibility to apply for one of our three Loan Repayment Programs.

The Lead Referral Clerk serves as the primary liaison for both staff and patients, ensuring clear communication and support throughout the referral process. This role oversees and manages the entire referral workflow to guarantee efficient coordination of patient care.

Benefits

403B
Dental insurance
Disability insurance through Massachusetts PFML
Employee discounts, cell phone, eyewear etc.
Health insurance
Life insurance
Paid time off
Vision insurance
Flexible Spending Account
Opportunities to earn CEU's
Voluntary Benefits including but not limited to, Disability, Life, Critical Illness, Accident and Disability Insurances

Duties & Responsibilities

Schedule, communicate, and coordinate referral appointments and diagnostic testing with outside specialists and patients.

Prioritizes referrals by their urgency and addresses in a timely manner.

Track and maintain accurate records of external referral appointments.

Fax and / or scan referral order and required information to specialists and hospitals.

Answer and respond to phone calls and requests for information.

Contacts insurance companies to ensure prior approval requirements are met. Presents necessary medical information such as history, diagnosis and prognosis to insurance company if deemed necessary to prove medical necessity of services. (WAS : Process insurance referrals and prior authorizations.)

Communicates with providers / staff for information, records, and assistance.

High school diploma required.

3-5 years experience in referrals required

Experience in verifying insurance eligibility

Experience obtaining / processing insurance referrals and diagnostic prior authorizations.

Experience working in a medical office setting

Knowledge of medical terminology, CPT code, HIPAA & 42 CFR

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Referral Clerk • Fall River, MA, US