Job Posting OPEN
CMA/RMA - Referral Clerk
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OPEN POSITIONS: Internal Medicine, JC
SUMMARY:
Under general supervision, the CMA/RMA Referral Clerk is responsible for coordinating the care and treatment of patients through the process of scheduling
referrals & pre-certifications
ESSENTIAL DUTIES AND RESPONSIBILITIES include the
following. Other duties may be assigned.
·
Obtain insurance referrals for patient care
·
Schedule patients for hospital surgeries and diagnostic procedures
·
Give instructions
and/or explanations to patients as directed by healthcare provider
·
Verify insurance coverage and referral needs
·
Schedule patients for
hospital surgeries, admissions, and diagnostic procedures, obtaining
pre-certification, prior authorization, and/or referral if necessary.
·
Obtain and submit necessary information, files, and reports to appropriate personnel
· Referral follow up, make sure provider receives records from specialists.
· Receive and prepare patients for examination, obtaining blood pressure, pulse rate, temperature, and weight.
·
Able to perform nursing duties, if needed, to maintain the flow of the clinic.
·
Obtain authorizations for medications.
QUALIFICATION REQUIREMENTS: To
perform this job successfully, and individual must be able to perform each
essential duty satisfactorily. The
requirements listed below are representative of the knowledge, skill, and/or
ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform
the essential functions.
EDUCATION AND/OR
EXPERIENCE: Graduation from a standard high school or GED. Diploma
or equivalent from a one year college or technical school and currently certified as a CMA or RMA. Two or three years’ related experience and/or training in a medical office with a background knowledge of insurance; or equivalent combination of education and experience.
OTHER
SKILLS AND ABILITIES: Knowledge
of the information and techniques needed to diagnose and treat injuries,
diseases, and deformities, including treatment alternatives, drug properties
and interactions, and preventive healthcare measures. Ability to establish and maintain an
effective working relationship with faculty members, students, residents,
staff, patients, and other third parties.
Ability to concentrate on the situation at hand and listen
effectively. Ability to operate
computer, keyboard, and printer. Ability to organize tasks; work as a team
member and independently using sound nursing skills with a variety of
professional disciplines. Knowledge of
ICD-10 and CPT coding. Knowledge of health insurance procedures to
obtain pre-authorizations and/or referrals.
Convey a professional and positive image and attitude.