Referral Clerk

Planned Systems International, Inc.; Ellsworth Air Force Base (SD); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Paid leave

Group medical, dental, vision

Disability insurance

Life insurance

401(k) with employer match

Tuition reimbursement

Job summary

QuarterLine, a Planned Systems International company, seeks a Referral Management Center Specialist to support military healthcare teams at an MTF. You will handle referral inquiries, review submissions, schedule specialty appointments, and ensure accurate documentation while protecting patient confidentiality.

Ideal candidates have medical terminology knowledge, 1 year of healthcare admin experience, and proficiency with electronic health records. US citizenship and U.S.

Qualifications

• US Citizen.

Responsibilities

• Answer incoming calls and assist patients and staff with referral-related questions.
• Review and process referrals for completeness and eligibility.
• Schedule and reschedule specialty appointments according to MTF guidelines.
• Process routine, urgent, and emergent referrals within established timeframes.
• Coordinate referrals with outside providers or insurance when services are not available at the MTF.
• Maintain accurate referral documentation in MHS GENESIS and other required systems.
• Educate patients on referral procedures, appointments, and expected timelines.
• Provide professional and courteous customer service while maintaining patient confidentiality.

Skills

Customer service

Referral coordination

Medical terminology

Medical scheduling

Insurance verification

EHR systems

English fluency

Education

High school diploma or equivalent

Tools

MHS GENESIS

Job description

Overview

QuarterLine (QL), a Planned Systems International (PSI) company, is seeking a dedicated and compassionate Referral Management Center Specialist to support our healthcare team at a Military Treatment Facility (MTF). The ideal candidate will provide professional customer service while assisting patients and staff with referral and appointment coordination.

Essential Functions and Job Responsibilities

• Answer incoming calls and assist patients and staff with referral-related questions.
• Review and process referrals for completeness and eligibility.
• Schedule and reschedule specialty appointments according to MTF guidelines.
• Process routine, urgent, and emergent referrals within establishedtimeframes.
• Coordinate referrals with outside providers or insurance when services are not available at the MTF.
• Maintainaccuratereferral documentation in MHS GENESIS and other required systems.
• Educate patients on referral procedures, appointments, and expected timelines.
• Provide professional and courteous customer service whilemaintainingpatient confidentiality.

Minimum Requirements

• US Citizen.
• High school diploma or equivalent.
• Working knowledge of medical terminology.
• One (1) year of administrative experience in a medical office, clinic, or healthcare setting. Referral management, medical scheduling, patient administration, or insurance verification preferred.
• Demonstrated computerproficiencyand keyboarding sufficient to sustain electronic health record workflow.
• Ability to read, write, speak, and understand English fluently.
• Ability to obtain andmaintaina favorable background investigation, a Common Access Card, and MTF-specific badge and system access.
• Current Basic Life Support certification(AHA or Red Cross)where required by the supported MTF, plus HIPAA, Privacy Act, information assurance, and MTF-directed initial and annual training.

Additional Information

• Must pass TB Test.
• Subject to a background/security investigation.
• Willingness tocomply withDHA vaccination requirements.
• Pre-employment drug screening.
• Contract workers shallmaintaingood personal hygiene and present a well-groomed andprofessional appearanceIAWthe policy at the place of performance.

Company Benefits

• paid leave
• options for employer sponsored group medical, dental, vision, short-term and long-term disability, life insurance, AD&D coverage, legal services, identity theft, and accident insurance.
• Flexible spending account and health saving account options offer pre-tax savings for qualified medical, dental, and vision expenses.
• The company sponsored 401(k) retirement plan has an employer contribution match that is immediately vested.
• We invest in the professional growth of our employees through professional courses, certifications, and tuition reimbursement programs.

EEO Commitment

It is company policy to promote equal employment opportunities. All personnel decisions, including, but not limited to, recruiting, hiring, training, promotion, compensation, benefits, and termination, are made without regard to race, color, religion, age, sex, sexual orientation, pregnancy, gender identity, genetic information, national origin, citizenship status, veteran status, protected veteran status, disability, or any other characteristic protected by applicable federal, state, or local law.