Referral Coordinator

Found in: Resume Library US A2 - 2 weeks ago


Knoxville Tennessee, United States Summit Medical Group Full time
Responsibilities:
About Our Career Opportunity

Summit Medical Group on Parkwest is seeking a Referral Coordinator. The Referral Coordinator is responsible for the arrival of referrals to specialist’s offices prior to patient scheduled appointment as well as handling patient check outs. This is a Full time opportunity.

 

EXAMPLES OF DUTIES: (List does not include all duties assigned)

 

Handles patient check out procedures, collects co-pays, schedules follow up appointments, etc.

Receives and returns phone calls to patients, other physicians’ offices, insurance companies and other offices as appropriate.

Completes all referral forms correctly and timely and faxes / mails forms to other physicians’ offices, insurance companies and other appropriate recipients.

Schedules patients’ appointments as needed.

Responsible for prior telephonic approvals when needed for out-of-network specialists and for telephonic pre-certification when needed for specialists.

Contacts other physicians and outpatient facilities to make appointments for other examinations or procedures.

Pull patients’ charts when needed, ensuring proper documentation. Responsible for placement of documents in patients’ charts.

Maintains daily logs of contacts and job completions.

Advises patients of PCP protocol regarding referral process, insurance companies, patients’ responsibilities, etc. Keeps updated regarding insurance companies policies and procedures.

Assists with other front office functions as requested, such as filing, answering phones, check-in, etc.

Performs duties in a professional manner while exhibiting a courteous and cooperative demeanor to patients, co-workers, management, and the public.

Adheres to established policies and procedures (including OSHA guidelines.)

Adheres to all appropriate aspects of the corporate compliance plan.

Performs other duties as assigned by physicians, Site Manager, or corporate Administration.

Qualifications:
EDUCATION: High School Diploma required. Vocational or college credits preferred.

 

EXPERIENCE: Clinical experience preferred. Insurance company / managed care procedural experience preferred.

Overview:
Summit Medical Group is East Tennessee’s largest primary care organization with more than 415 providers at 87 practice locations in 19 counties. Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, four express clinics, central laboratory, and sleep services center. Summit provides healthcare services to more than 370,000 patients, averaging over one million encounters annually. For more information, visit 

 

In addition to our commitment to the health of our community, our organization is also committed to the health of our employees through our employee Wellness Program.  Employees receive a discounted monthly insurance premium if they actively participate in the wellness program. Pre-employment drug testing will occur prior to starting work and only candidates who pass the drug test will be considered eligible for employment.


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