referral coordinator

Chester County of Pennsylvania

<div><div><div><h2 class="jobSectionHeader"><b>Summary</b></h2></div>
<div><p>Chester County Mental Health/Intellectual and Developmental Disabilities is looking to fill a full-time Service Coordination Unit position to manage referral and developmental activities. Position is responsible for coordinating and scheduling evaluations with the evaluator agencies to ensure evaluations are conducted within the regulatory timelines while maximizing the available evaluation resources. This position will manage evaluation scheduling and assist the program with analyzing capacity needs of evaluation services.<br>
<br>
The Early Intervention Referral Coordinator is a Services Coordination position that is the first point of contact for a family/caregiver to the birth to 3 Early Intervention system. The Referral Coordinator is responsible for providing the child&rsquo;s caregiver information regarding services provided by the Early Intervention system and to gather information to assist in the assessment of the child and family needs while ensuring that the 45-day timeframe from initial call to MDE/IFSP is met.</p></div>
<div><h2 class="jobSectionHeader"><b>Essential Duties</b></h2></div>
<div><p>The incumbent in this position is responsible for coordinating and scheduling evaluations with the evaluator agencies to ensure evaluations are conducted within the regulatory timelines while maximizing the available evaluation resources. This position will manage evaluation scheduling and assist the program with analyzing capacity needs of evaluation services.<br>
<br>
The position provides case management services to children aged birth to 3 years at-risk/with developmental delays. This includes initial screenings, intake interviews, appropriate referrals, plan development and completion of progress notes and consumer contacts. The specific required tasks of each caseload vary based on the business needs of the department as well as the needs of the consumers. Some positions will have a greater emphasis on conducting intake meetings and evaluations, while other positions will primarily support children with active IFSPs or will primarily coordinate transition activities for consumers. All positions will be expected to complete all duties as a Service Coordinator when necessary.<br>
<br>
A person in this position is expected to demonstrate the system of care practice model, which maximizes all resources around an individual or family. The system of care includes child and adult serving agencies and community partners that join with an individual or family to meet their goals.</p></div>
<div><h2 class="jobSectionHeader"><b>Qualifications/Preferred Skills, Knowledge &amp; Experience</b></h2></div>
<div><p><b>Minimum Requirements:</b><br>
The Early Intervention Service Coordinator position comes under the provision of the Child Protective Services Law. If you are a final candidate for this position, you will have to provide reports on your background from such sources as the Pennsylvania State Police, Federal Criminal History, and the PA Child Abuse History Clearance. If your background is unacceptable, you will be disqualified for employment in this position. You will receive information about these requirements and how to obtain the required reports at the time you are being considered for employment.</p><br>
<ul><li>
A bachelor&rsquo;s degree which includes 12 college credits in early intervention, early childhood special education, early childhood education, child development, special education, family counseling, family studies, social welfare, psychology or other comparable social sciences, and 3 years of full-time or full-time-equivalent experience working with or providing counseling to children, families, or individuals with disabilities.</li><li>
Ability to work independently and as part of a team.</li><li>
Ability to establish priorities and carry tasks to completion.</li></ul><b>
</b><br>
<b>Clarification of Requirements</b>: You may substitute appropriate experience for the required education, except for the 12 college-level credits in specified areas, or appropriate education for the experience. Unrelated experience or education will not be accepted.<br>
<br>
<b>If you do not have a bachelor&rsquo;s degree with a major in sociology, social work, social welfare, psychology, gerontology, criminal justice, or other related social sciences, you must submit a list of college courses or college transcripts showing the completed 12 college-level credit hours required in these areas.</b><br>
<br>
<b>Preferred Skills, Knowledge &amp; Experience:</b><br>
<ul><li>
Professional level experience working in Infant Toddler of Preschool Early Intervention</li><li>
Bachelor&rsquo;s degree in social science or related field.</li><li>
Four years of experience in the human services field.</li><li>
Experience with individuals who have developmental disabilities.</li><li>
Experience and knowledge in early childhood development.</li><li>
Proficiency in team facilitation and mediation.</li><li>
Knowledge of Part C of IDEA and early intervention regulation.</li><li>
Knowledge of EI Announcements</li><li>
Knowledge of statewide data systems, such as HCSIS, PELICAN, Data Warehouse</li><li>
Knowledge of MH/MR Act 66.</li><li>
Working knowledge of SS/DPW system.</li></ul></div><p></p>
<div><h2 class="jobSectionHeader"><b>Additional Information</b></h2></div>
<div><p><b>Relevant background checks, clearances, physicals, drug tests, and any other assessments or evaluations will be conducted after an offer of employment is give per County policy.</b><br>
<br>
<b>Computer Skills:</b><br>
To perform this job successfully, an individual should have:</p><br>
<ul><li>
Basic Word skills</li><li>
Basic OutLook skills (Email and Calendar)</li><li>
Basic Internet skills (for research purposes)</li><li>
Ability to learn/utilize computer systems for everyday work.</li></ul><b>
</b><br>
<b>Physical Demands:</b><br>
While performing the duties of this position, the employee is frequently required to stand, walk, sit, talk, or hear, taste or smell and travel to and from different locations. Occasionally, the employee will need to reach above shoulder height, and climb stairs. On rare occasions, the employee will need to work with arms above shoulder height, bend at the waist or work bent at the waist, lift, or carry items, or work with an uncommon level of noise.<br>
<br>
The specific vision requirement for this position is:<br>
<ul><li>
Close vision (clear vision at 20 inches or less).</li></ul><b>
</b><br>
<b>Work Environment:</b><br>
<ul><li>
The noise level in the work environment is usually quiet to moderate.</li><li>
Inclement weather can contribute to hazardous travel conditions.</li><li>
Attending initial intakes alone and in all types of neighborhoods can potentially place you in an unsafe environment.</li><li>
Field work, as assigned.</li><li>
Court appearances, as necessary.</li></ul><b>
</b><br>
<b>Other:</b><br>
<ul><li>
This position requires extensive reading.</li><li>
Ability to work extended hours, as needed.</li><li>
This position requires professionalism.</li></ul></div></div></div><p></p>

Early Intervention Referral Coordinator

Gather Health

<div>Description:
<p><b>
Who we are: </b>Gather Health delivers Social Primary Care to older adults. Through our unique and differentiated care model and proprietary technology, Gather Health&rsquo;s solution drives substantial care outcomes by addressing the whole person needs of our target demographic: older, dual eligible adults, the fastest growing government segment. To address the needs of these clinically and socially complex patients, Gather Health&rsquo;s Social Primary Care solution is comprehensive and wholistic in nature, encompassing care and community within the four walls of Gather Health Centers and in the homes of its patients.</p><p>
Gather&rsquo;s model achieves superior care by individualizing care and is reinforced by a three-prong approach: a unique care model quarterbacked by PCPs and supported by multi-disciplinary care teams, tailored Social Care Plans that are led by Gather Guides and facilitated by deeply rooted community partners, and a proprietary &ldquo;Tech Enabled Home Model.&rdquo;</p><p>
Founded in 2022 and born out of the Healthcare Foundry Portfolio, Gather Health is addressing a $1 trillion market in primary care for older adults. Today, Gather Health operates in Massachusetts and is working with a multitude of payer partners on aligning value-based care economics to deliver integrated care. Gather&rsquo;s leadership team has a track record of building and scaling innovative primary care platforms focused on vulnerable populations, including VillageMD and Commonwealth Care Alliance. Gather has raised $30M backed by Maverick Ventures, Khosla, and HC9 Ventures.</p><p><b>
Summary of Referral Coordination Partner Role:</b></p><p>
The Referral Coordination Partner will play a vital role in connecting our patients with specialists and other providers outside of Gather Health and ensuring a seamless process. There are many aspects that require coordination that can be confusing to the patients &ndash; things such as scheduling a date and time, running insurance verifications, obtaining/sending electronic medical records from/to other clinics/hospitals, etc. &ndash; and the Referral Coordination Partner will be the central organizer in all activities related to referrals for our patients.
</p><p><b>Day-to-day Duties:</b></p><p>
This clinic-based role will include, but not limited to, the following responsibilities:</p><ul><li>
Schedules and pre-registers patients for exams and procedures with specialists and providers outside of Gather Health and confirms those scheduled appointments with specialists and providers</li><li>
Notifies patients of appointment information, including, date, time, location, etc.</li><li>
Communicates with patients with regards to their transportation needs; contacts insurance carriers to verify transportation benefit eligibility, and coordinate accordingly</li><li>
Ensures patients&rsquo; external missed appointments are rescheduled and communicated to the clinical care team</li><li>
Uses Web resource portals such as Availity and OneSource to generate authorizations</li><li>
Work through the denials/appeals process with Gather Health providers</li><li>
Coordinates authorizations and acquisition of Durable Medical Equipment</li><li>
Participates in daily and weekly clinical care team meetings</li><li>
Communicates with the clinical care team to ensure patients referral needs are met</li><li>
Addresses referral-based phone calls and messages in a timely fashion</li><li>
Retrieves consultation notes, test results, and medical records - submits appropriate clinical documents to specialist offices and uploads documents into electronic medical record platform (Athena)</li><li>
Provides backup support for front desk duties as necessary</li><li>
Performs other related duties as assigned</li></ul>
Requirements:
<p>
 <b>Requirements:</b></p><ul><li>
Minimum of one year experience coordinating referrals in a medical clinic</li><li>
High school diploma or G.E.D.</li><li>
Minimum of one year experience working with an Electronic Health Record software</li><li>
Solid understanding of medical terminology</li><li>
Strong interpersonal skills with experience working in settings requiring frequent communication via phone and in-person</li><li>
Experience with basic office tools such as email, Outlook calendar, Excel, Slack/Teams, etc.</li><li>
Strong verbal, written, and reading comprehension skills in English</li><li>
Proven track record of detail orientation and the ability to multi-task in a busy clinic</li><li>
Ability to work from 8am to 5pm Monday through Friday</li><li>
Ability to work from home for part of the time, with appropriate setup conducive to performing work including phone calls</li><li>
Ability to work for any employer in the United States</li></ul><p><b>
 Preferred Skills:</b></p><ul><li>
Experience with CPT and/or ICD coding, or HCPCS</li><li>
Experience with seniors, under-served populations, individuals with disabilities or other complex social needs</li><li>
Experience working in a primary care clinic setting</li><li>
Experience working with Athena</li></ul><p><b>
We are committed to supporting every aspect of your life by offering a total rewards package designed to support your health, financial security, and work-life balance:</b></p><ul><li>
Health: Comprehensive medical, dental, and vision with day-one eligibility</li><li>
Protection: Company-paid Life, Short-Term, and Long-Term Disability insurance</li><li>
Retirement: 401(k) with company match and immediate vesting</li><li>
Time Off: Generous PTO that increases with tenure and 11 paid company holidays</li><li>
Wellness: Employee Assistance Program (EAP) and supplemental benefit options</li></ul><p><i>
Gather Health is an Equal Opportunity Employer. All employment decisions are made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, or any other basis as protected by federal, state, or local law.</i></p></div>

Referral Coordinator - Quincy, MA

Rochester Regional Health

<div><p><b>SUMMARY</b></p><p>
Lead Referral Coordinator contributes to overall patient satisfaction by consistently delivering outstanding customer service to patients, providers and payers throughout the patient&rsquo;s healthcare experience. Under the direction of the Referral Manager, provides day-to-day support for the referral team, acting as a subject matter expert, Super User, primary escalation point, preceptor, and performance coach. As a working team leader, serves as the first point of contact for patients and physicians to coordinate services across the system. Refers to and schedules appointments, registers seminars and classes, navigates patient inquires, and communicates courteously throughout the delivery of care. Aims always for first call resolution Collaborates with physician offices and clinical departments to coordinate services, prepares patients for their visit, and maintains all of its support processes.</p><p></p><p><b>
STATUS: Full-Time</b></p><p><b>
LOCATION: Riedman Campus</b></p><p><b>
DEPARTMENT: Communication Center</b></p><p><b>
SCHEDULE: Monday - Friday 8am - 4:30pm</b></p><p></p><p><b>
RESPONSIBILITIES</b></p><ul><li>
Collaborates and ensures team delivers a seamless, exceptional customer experience across a broad range of customer touch points, channels, processes, and applications. Works across multiple functions and with all levels of the organization.</li><li>
Responds to and supports team with inbound interactions utilizing EMR to refer and schedule new patient appointments, registrations and inquiries to enhance access while following established protocols to ensure patient safety and data integrity; primary point of escalation.</li><li>
Proactively contacts and supports team to contact patients, caregivers, physicians and the community utilizing EMR to refer and schedule patient appointments, complete registrations and respond to inquiries following established protocols to ensure patient safety and optimize the revenue cycle; primary point of escalation.</li><li>
Acts as a key referral liaison to community provider offices, serving as a primary point of contact for private physicians to manage all types of interactions into RRHS.</li><li>
Provides and supports seminar and training activities information, including courses offered, course content, fees, registration and refund procedures, program policy, course changes, and continuing education units.</li><li>
Coordinates and processes effectively various EMR work queues by updating, deferring or editing information following established protocols and workflows.</li><li>
Communicates effectively using EMR messaging, utilizing appropriate smart phrases and workflows; point of escalation according to established process.</li><li>
Supports enrollment and activation of patient portal accounts, including answering questions and/or resolving any user issues; point of escalation according to established process.</li><li>
Performs database/systems upgrades and maintenance as directed and/or as necessary.</li><li>
Partners with training and development to provide role support and learning experiences for new employees. As a role model, subject matter expert (SME), and Super User, facilitates training, knowledge transfer and at the elbow support skills.</li><li>
Ensures own compliance with all contact center policies and procedures. Is open to constructive criticism and willing to work on areas identified as needing improvement.</li><li>
Provides feedback and coaching real time to each team member in support of their adherence and productivity goals.</li><li>
Adheres to and ensures compliance with Health Insurance Portability and Accountability Act (HIPAA) at all times to safeguard protected health information.</li></ul><p></p><p><b>
Minimum Qualifications:</b></p><ul><li>
High School or GED; Prefer AA</li><li>
Two (2) years customer service experience, with one (1) year of service at Rochester Regional Health System</li><li>
Embraces a culture of customer-centric behavior and innovation critical to success in this role.</li><li>
Prefer Bilingual; able to pass a language proficiency assessment within 30 days of hire.</li><li>
Possesses strong customer service skills and the ability to demonstrate compassion and empathy. Prefer knowledge of medical terminology.</li><li>
Strong verbal and written communication skills including good voice quality, good diction, and articulation are required. Prefer knowledge of terminology used by insurance/managed care health plans.</li><li>
Must be available to work a flexible schedule that may include evening, weekend and holiday shifts. Prefer knowledge of function and relationships within a hospital environment.</li><li>
Must be able to multitask, handling phone conversations with consumers while accurately entering data in the computer while continuing to focus on the customer.</li><li>
Proficiency in use of computers. Must be able to type a minimum of 35 wpm.</li><li>
Certified Healthcare Access Associate (CHAA) or equivalent preferred.</li></ul><p></p><p><b>
Required Licensure/Certification Skills:</b></p><ul><li>
None</li></ul><p></p><p><b><br>
EDUCATION:</b></p><p></p><p><b>
LICENSES / </b><b>CERTIFICATIONS:</b></p><p></p><p><b>
PHYSICAL REQUIREMENTS:</b></p>
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.<p></p><p><b>
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.</b><b>
</b></p><p></p><p><b>Any physical requirements reported by a prospective employee and/or employee&rsquo;s physician or delegate will be considered for accommodations.
</b></p><p></p><p><b>PAY RANGE:</b></p>
$19.75 - $23.00<p></p><div><div><div><div><div><div><div><p><b>
CITY:</b></p></div></div></div></div></div></div></div>
Rochester<p></p><div><div><div><div><div><div><div><p><b>
POSTAL CODE:</b></p></div></div></div></div></div></div></div>
14617<p></p><p><b><i>
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.</i></b></p><p></p><p><b>
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.</b></p></div>

Referral Coordinator-Lead, Communications Center

Graff: Foot, Ankle & Wound Care

<p><b>**THIS IS NOT A REMOTE POSITION**</b></p><p><b>Clinic Referral Coordinator / Authorization &amp; Verification of Benefits</b></p><p><b>Location:</b> Plano, TX (with support across multiple DFW clinic locations)<br/><b>Employment Type:</b> Full-Time</p><p><b>About Us</b></p><p>Graff Foot Ankle &amp; Wound Care is a growing, multi-location podiatry and wound care practice serving patients across the DFW metroplex. We pride ourselves on delivering high-quality, patient-focused care while maintaining strong operational workflows behind the scenes. As we continue to expand, we are seeking a detail-oriented and proactive <b>Clinic Referral Coordinator / Authorization &amp; Verification of Benefits</b> to support our clinical and administrative teams.</p><p><b>Position Summary</b></p><p>The Clinic Referral Coordinator / Authorization &amp; Verification of Benefits plays a critical role in ensuring patients are scheduled appropriately, referrals are processed accurately, and insurance benefits and authorizations are obtained in a timely manner. This role requires strong communication skills, insurance knowledge, and the ability to manage multiple priorities in a fast-paced healthcare environment.</p><p><b>Key Responsibilities</b></p><ul><li>Receive, review, and process incoming referrals from internal and external providers</li><li>Verify patient insurance eligibility and benefits prior to appointments and procedures</li><li>Obtain prior authorizations for office visits, imaging, procedures, surgeries, wound care, DME, and specialty services as required</li><li>Communicate authorization requirements, coverage details, and financial responsibility to patients and clinic staff</li><li>Track and follow up on pending authorizations to avoid delays in patient care</li><li>Coordinate scheduling with clinic staff, providers, and surgery centers as applicable</li><li>Maintain accurate and complete documentation within the EHR and referral tracking systems</li><li>Communicate with insurance carriers, provider offices, and patients professionally and efficiently</li><li>Ensure compliance with payer guidelines, HIPAA regulations, and company policies</li><li>Assist with reporting, audits, and workflow improvements related to referrals and authorizations</li></ul><p><b>Qualifications</b></p><ul><li>High school diploma or equivalent required; healthcare-related coursework or certification preferred</li><li>Minimum <b>2 years of experience</b> in referrals, authorizations, or insurance verification in a medical office setting</li><li>Strong understanding of insurance plans (Medicare, Medicaid, and commercial payers)</li><li>Familiarity with CPT, ICD-10 codes, and authorization processes</li><li>Experience working in podiatry, surgical, wound care, or specialty practices is a plus</li><li>Proficient with EHR systems and Microsoft Office</li><li>Excellent organizational skills with strong attention to detail</li><li>Ability to handle confidential information with professionalism and discretion</li><li>Strong communication skills&mdash;both written and verbal</li></ul><p><b>What We Offer</b></p><ul><li>Competitive pay based on experience</li><li>Health, dental, and vision benefits</li><li>Paid time off and paid holidays</li><li>401(k) retirement plan</li><li>Supportive team environment with opportunities for growth</li><li>Stable, growing practice with multiple locations across DFW</li></ul><p>Pay: From $17.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Experience:</p><ul><li>Authorizations/Referrals: 1 year (Required)</li><li>Insurance verification: 1 year (Required)</li><li>Medical: 1 year (Required)</li></ul><p>Work Location: In person</p>

Referral Coordinator / Authorization & Verification of Benefits

Central Coast Home Health & Hospice

<div><p><b>Central Coast Home Health and Hospice</b> is a locally owned organization with an excellent reputation throughout the San Luis Obispo and Santa Barbara counties. We are constantly growing and now seeking a Full time<b> Home Health </b><b>Referral Coordinator (Licensed vocational nurse, medical assistant or certified nurse assistant)</b> to join our team in our San Luis Obispo office.
</p><p>The Referral Coordinator is responsible for ensuring that patient care is coordinated and managed efficiently and effectively while working closely with the home health intake team. This position also verifies patient demographics, reviews orders and labs and communicating with our field clinicians to ensure that patient care and services are delivered appropriately.
</p><p><i>The regular work schedule is 8 AM-5 PM, Monday-Friday, with rotating 1 weekend day every 4 wks.</i>
</p><p><b><i>Qualifications/Job Requirements</i></b>
</p><ul><li>Current California Licensed Vocational Nurse (LVN), Medical Assistant (MA), or Certified Nursing Assistant (CNA)
</li></ul><ul><li>Home health experience preferred but not required
</li></ul><ul><li>Ability to maintain a calm, professional demeanor in all situations
</li></ul><ul><li>Customer-service&ndash;focused approach to all interactions
</li></ul><ul><li>Strong organizational and communication skills, with the ability to work independently and collaboratively within a team
</li></ul><ul><li>High attention to detail with excellent follow-up and ability to complete tasks in a timely manner
</li></ul><ul><li>Experience with EMR/EHR systems preferred</li></ul>
<ul><li>Ability to coordinate patient care and communicate effectively with clinicians and referral sources</li></ul>
<ul><li>Experience with phone triage and patient communication preferred<br>
</li></ul><p></p><p>We offer competitive pay, medical, dental, &amp; vision benefits, holiday pay, paid personal and sick time off, 401(k), gym membership, flexible self-scheduling, easy to use web based EMR system on iPads, in-house continuing education and reimbursement for outside training. Please send your resume for consideration. For more information about our company, please visit our website at www.centralcoasthomehealth.com</p></div>

Home Health Referral Coordinator-San Luis Obispo

Lovelace Health System

<div>Overview:
<div>
Join our team as a day shift, full-time, Referral Operations Referral Program Coordinator in Albuquerque, New Mexico.</div><div></div><div><b><br>
Why Join Us?</b></div><div></div><div><b><br>
Thrive in a People-First Environment and Make Healthcare Better</b></div><ul><li><i>
Thrive:</i><i> </i>We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.</li><li><i>
People-First:</i><i> </i>We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.</li><li><i>
Make Healthcare Better:</i><i> </i>We use advanced technology to support our team and enhance patient care</li></ul><p><b>
Get to Know Your Team:</b></p><ul><li>
Ardent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.S. With a focus on people and investments in innovative services and technologies, Ardent is passionate about making healthcare better and easier to access. Through its subsidiaries, Ardent delivers care through a system of 30 acute care hospitals, 24,000+ team members and more than 280 sites of care with over 1,800 affiliated providers across six states.</li></ul>
Responsibilities:
<ul><li>This position is responsible for processing internal, incoming, and external referrals for Ambulatory services, procedures, and medications.
</li><li>The Referral Coordinator will obtain prior authorizations, schedule patients, work inbound and outbound phone calls, and communicate with patients via on-line chat.
</li><li>Will consider highly qualified applicants for hybrid or remote positions.</li></ul>
Qualifications:
<div>
Job Requirements</div><ul><li>
High School Diploma; GED.</li><li>
Two or more years of experience with Electronic Health Record (EHR).</li></ul><div>
Preferred Job Requirements</div><ul><li>
Certified Medical Assistant.</li></ul></div>

Referral Program Coordinator

Erlanger

<div><div><b>Precert/Referral Coordinator - Plastic &amp; Reconstruction - Full-Time</b> <b>(</b><b>46849</b><b>)</b> <b>-</b>Physician Practices Chattanooga, TN</div><div>
Precert/Referral Coord.</div><div>
Regular - Non-exempt - Full-time - <b>Standard Hours</b> 37.5</div><p></p><div><b>
Description</b><div></div><p><br>
Job Summary:
<br>
Provides a variety of patient and customer service-related activities within the Physician Practice, particularly liaison with other physician's office and insurance companies. These activities include but are not limited to greeting patients and the public, answering and screening telephone calls, scheduling patient appointments, preparing the medical record, and serving as the liaison between the patient and medical support staff. Performs general office duties such as data entry, filing, balancing charges and collections at the end of each day. Provides patients with insurance pre-certification and schedules specialist referrals. Performs any other duties as directed.<br>
<br>
This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation.<br>
<br>
Education:<br>
Required:
<br>
High School diploma or equivalent.<br>
<br>
Preferred:
<br>
<br>
Experience:<br>
Required
<br>
Previous experience in a health/medical setting. Previous experience in understanding insurance plans and referrals, pre-authorizations, appointment scheduling, data entry and deposits. Computer experience with MS Windows, Outlook and medical software applications.<br>
<br>
Preferred:<br>
Minimum 2 years in a physician's practice. Knowledge of medical billing including CPT and ICD 9 &amp; 10 coding.<br>
<br>
Position Requirement(s): License/Certification/Registration<br>
Required:<br>
Preferred:<br>
<br>
Department Position Summary:<br>
Provides a variety of patient and customer service-related activities within the Physician Practice structure and as the liaison between external departments, physician's office and insurance companies. These activities include but are not limited to greeting internal and external customers, entering phone messages into the EMR system, scheduling appointments in FlowCast, performing general office duties, accurate data entry, filing, obtaining pre-certification and pre-authorizations for procedures and medications, scheduling referrals for patients via the referral proxy and fax system, and all other duties as assigned.</p></div></div><p></p>

Precert/Referral Coordinator - Plastic & Reconstruction - Full-Time

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