Referral Clerk/Patient Services Representative

Mountain Community Health Partnership; Spruce Pine (NC); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

401(k)

Employer Paid Health Insurance

Life Insurance; Group and Voluntary

Paid Time Off

Job summary

Mountain Community Health Partnership is seeking a full-time Referral Clerk/Patient Services Representative to support patient care and front office operations. You will help patients navigate referrals and schedule appointments while providing friendly front desk support.

Responsibilities include processing referrals, obtaining prior authorizations, verifying insurance, coordinating with providers, and maintaining accurate patient records in the EHR. Prior healthcare experience is preferred.

Qualifications

• High school diploma or equivalent required.
• Experience in a medical/clinic setting preferred.
• Strong knowledge of referrals, prior authorizations, and medical records procedures.
• Proficiency in Microsoft Office and confidentiality handling.

Responsibilities

• Process referrals to specialists, imaging centers, and other healthcare providers.
• Obtain insurance prior authorizations for referred services and procedures.
• Schedule referral appointments and communicate details to patients.
• Track referral outcomes and ensure follow-up documentation is received.
• Coordinate with providers and clinical staff regarding referral needs.
• Process medical records requests in compliance with HIPAA regulations.
• Assist patients in person and over the phone.
• Schedule, confirm, reschedule, and cancel appointments.
• Verify insurance eligibility and benefits.
• Maintain accurate patient records in the EHR system.
• Collaborate with clinical, care management, and billing teams.

Skills

Microsoft Office

Communication skills

Verbal communication

Written communication

Detail-oriented

Critical thinking

Confidentiality

Medical terminology

Education

High School Diploma or equivalent

Tools

EHR systems

Job description

Mountain Community Health Partnership is seeking a full-time Referral Clerk/Patient Services Representative to support patient care and front office operations. As a key member of our team, you will help patients navigate referrals and specialty appointments while also providing exceptional front desk support.

Key Responsibilities

As a Referral Clerk

• Process referrals to specialists, imaging centers, and other healthcare providers.
• Obtain insurance prior authorizations for referred services and proceudres.
• Schedule referral appointments and communicate details to patients.
• Track referral outcomes and ensure follow-up documentation is received.
• Coordinate with providers and clinical staff regarding referral needs.
• Process medical records requests in compliance with HIPAA regulations.

As a Patient Services Representative

• Assist patients in person and over the phone.
• Schedule, confirm, reschedule, and cancel appointments.
• Verify insurance eligibility and benefits.
• Maintain accurate patient records within the electronic health record (EHR) system.
• Collaborate with clinical, care management, and billing teams.

Qualifications

• Education: High School Diploma or equivalent.
• Experience: Experience in a medial office, clinic, or healthcare setting. Experience with EHR systems and insurance verification processes. Knowledge of referrals, prior authorizations, or medical record procedures. Knowledge of medical terminology.
• Proficient in Microsoft Office, detail-oriented, excellent verbal and written communication skills, and critical thinking skills. Ability to maintain confidentiality.

Benefits

• 401(k)
• Employer Paid Health Insurance
• Life Insurance; Group and Voluntary
• Paid Time Off