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Role Description

The Patient Accounts Representative- Referrals is responsible for all aspects of the referral process related to the workflow of the department which includes the coordination of provider referrals both internally and externally. The position is responsible for ensuring payers and patients are prepared to reimburse Alomere Health and all departments for scheduled services in accordance with payer-provider contracts.

• Receive and document referrals, schedule care, and send confirmation of scheduled services back to the referring provider as well as the patient
• Work with the Business Office on patients’ insurance and benefits information, and contact patients to obtain more information as needed
• Send referrals to specialists for further care, and gather and send pertinent medical information
• Apply understanding of payer networks to support physician referral decisions that coincide with patient coverage as well as the treatment plan
• Enter all referral information accurately into appropriate systems daily in order to facilitate an intact, complete medical record
• Alert the clinicians involved in the patient’s care when there are issues with referrals or complications with insurance coverage
• Inform the patient whether the referral has been approved and review the next steps of care with them

Qualifications

• High school diploma or equivalent

Preferred Qualifications

• Certified Medical Assistant (CMA) status and/or experience through the American Association of Medical Assistants

Knowledge, Skills and Abilities

• Exceptional communication skills, both written and verbal
• Excellent customer service skills
• Proficient in data entry and working with computers
• Knowledge of electronic health record (EHR)
• Strong critical thinking and problem solving skills
• Strong attention to detail and ability to multitask

Benefits

• Health, Dental, and Vision Insurance
• Employee Health Clinic (health +): Our health+ clinic provides office visits and prescription medications for little to no cost to Alomere Health employees and their dependents who are on a medical insurance plan
• Retirement Savings: (401(k)) - All eligible employees of Alomere Health are automatically enrolled. All eligible employees are able to contribute on a pre-tax and/or post-tax basis and Alomere Health matches 100% up to 6% of employee's contributions.