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Centralized Referrals Coordinator

2 months ago

Knoxville, Tennessee, United States Covenant Health Full time

Position Overview:

The Centralized Referrals Coordinator is responsible for overseeing the daily scheduling operations for both inpatient and outpatient services. This role includes the acquisition of necessary referrals and pre-certifications to ensure seamless patient care.

Key Responsibilities:

  • Manage the scheduling of inpatient and outpatient tests, procedures, and appointments as instructed by healthcare providers, ensuring detailed documentation in the medical records.
  • Complete all necessary forms for referrals and pre-certifications with accuracy.
  • Possess a thorough understanding of the requirements and guidelines set forth by insurance providers, hospitals, and outpatient facilities.
  • Maintain precise logs of testing, referrals, and appointments, ensuring follow-up verification in the referral tracking system.
  • Demonstrate knowledge of ICD-9 and CPT coding along with basic computer proficiency.
  • Coordinate the date, time, and location of procedures and appointments with patients, facilities, and providers.
  • Effectively communicate appointment details and any special instructions to patients regarding their scheduled procedures.
  • Report any challenges encountered in obtaining referrals, pre-certifications, or appointments as directed by healthcare providers.
  • Perform additional duties as assigned or requested.
  • Participate in meetings and committees as required.
  • Collaborate with patients, physicians, and other members of the care team to enhance overall patient care.

Qualifications:

Minimum Education: A combination of formal education and/or relevant work experience that demonstrates the necessary knowledge, skills, and abilities for the role. Preference may be given to candidates with a high school diploma or GED.

Minimum Experience: Previous experience in referrals and pre-certifications is preferred. Familiarity with medical terminology is essential. A minimum of one year of medical experience, particularly in referrals and pre-certifications, is advantageous.

Licensure Requirement: None required.