Precert/Referral Coordinator - Primary Care Marion County - Full-Time at Sodexo at Erlanger Health System

Chattanooga, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Jun, 26

Salary

0.0

Posted On

14 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Service, Customer Service, Insurance Pre-certification, Referral Scheduling, Data Entry, Filing, Charge Balancing, Collections, Team-Based Care, Self-Management Support, Self-Efficacy Support, Behavior Change Support, Quality Improvement, FlowCast, Pre-authorization, Medical Software Applications

Industry

Hospitals and Health Care

Description

Job Summary: 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. 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. Education: Required: High School diploma or equivalent. Preferred: Experience: Required 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. Preferred: Minimum 2 years in a physician's practice. Knowledge of medical billing including CPT and ICD 9 & 10 coding. Position Requirement(s): License/Certification/Registration Required: Preferred: Department Position Summary: 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, retrieving phone messages and returning calls, 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.

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Responsibilities

This role involves providing patient and customer service within a Physician Practice, acting as a liaison with other offices and insurance companies, which includes scheduling appointments and handling pre-certifications and referrals. Team members are also trained to coordinate care and support patients in self-management and behavior change as part of a team-based approach.