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
