Job Description:

The Outpatient Referral Medical Assistant is a member of the Medical Management Department and reports directly to the Outpatient Referral Supervisor. Performing a variety of duties both clinical and clerical in nature, this position will maintain a caseload of delegated referrals, and other duties as assigned to fulfill the needs of and maximize the efficiency of the department.

Responsibilities:

Processes referral orders into referral authorizations, including review of medical records to collate pertinent clinical information forwarded to external Providers and facilities
Receives and coordinates referrals to include notification of prior authorization and services covered
Referral communication with multidisciplinary team members, both internal and external, including phone calls (inbound and outbound)
Referral communication with patients and their families, including phone calls (inbound and outbound)
Fielding calls and inquiries received from internal/external Providers, patients, or team members regarding the patient’s care or needs, ensuring telephone line is open, answered, voicemails extracted and calls returned
Maintains referral logging system
Assist and support the Outpatient Referral Supervisor with department activities including supply ordering, as directed
Identifies barriers to the referral process, bringing them to the Outpatient Referral Supervisor’s attention, and supporting in problem solving
Participation in process development, implementation and training
Proactively participates in creating a healthy and safe work environment
Exhibits exceptional customer service, setting an example with a focus on Patient Experience
Supports and adheres to all company personnel policies and procedures, as well as departmental policies and procedures, including strict HIPAA compliance
Knowledge, understanding and support of the contents of the employee handbook and the CBA

Qualifications:

High school graduate, some college/college degree, preferred
CMA certification
Two+ years of general clerical experience in a healthcare setting
Two+ years of relevant CMA experience, preferably in an outpatient or managed care setting
Strong customer service skills
Strong interpersonal skills
Strong clinical background
Ability to organize and maintain numerous assignments
Excellent verbal, telephone, and written communication skills
Ability to work independently and as a member of a team
Must possess a professional, positive, and enthusiastic attitude
Ability to engage in active listening
Proficiency with Electronic Medical Record systems
Knowledge of commonly accepted standards in an ambulatory setting, preferred
Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint), preferred
Bi-lingual (English, Spanish/Polish), preferred

This job description reflects management's assignment of essential functions and position responsibilities. Nothing in this job description restricts management's rights to assign or reassign duties and responsibilities to this job at any time.

Job Type: Full-time

Pay: $18.00 - $25.00 per hour

Expected hours: 37.5 per week

Benefits:

401(k)
Dental insurance
Employee discount
Health insurance
Life insurance
Paid time off
Professional development assistance
Retirement plan
Tuition reimbursement
Vision insurance

Work Location: In person

Union Health Service

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Outpatient Referral Medical Assistant