Precert/Referral Coordinator - Gastro - Full-Time

Erlanger Health System•Chattanooga, TN

About The Position

Provides patient and customer service activities within a physician practice, including serving as a liaison with other physician offices, insurance companies, external departments, patients, and medical support staff. Duties include greeting patients and other customers, answering and screening calls, entering phone messages into the EMR, scheduling appointments, preparing medical records, performing general office work and accurate data entry, filing, and balancing charges and collections at the end of each day. The coordinator obtains insurance pre-certifications and pre-authorizations for procedures and medications and schedules specialist referrals using the referral proxy and fax system. The role participates in a team-based approach to care. Team members are trained to perform at the highest level of their role under applicable State of Tennessee and Georgia guidelines, coordinate patient care, support patients and their families or caregivers with self-management, self-efficacy, and behavior change, and help manage the practice's patient population. The position also participates in the practice's quality improvement process and performance evaluation. Performs other duties as assigned.

Requirements

High school diploma or equivalent.
Previous experience in a health or medical setting.
Previous experience understanding insurance plans, referrals, pre-authorizations, appointment scheduling, data entry, and deposits.
Computer experience with MS Windows, Outlook, and medical software applications.

Nice To Haves

A minimum of two years of experience in a physician's practice.
Knowledge of medical billing, including CPT and ICD-9 and ICD-10 coding.

Responsibilities

Greet patients, the public, and internal and external customers.
Answer and screen telephone calls and enter phone messages into the EMR system.
Schedule patient appointments in FlowCast.
Prepare medical records and serve as a liaison between patients and medical support staff, physician offices, external departments, and insurance companies.
Perform general office duties, including accurate data entry and filing.
Balance charges and collections at the end of each day.
Obtain insurance pre-certifications and pre-authorizations for procedures and medications.
Schedule specialist referrals using the referral proxy and fax system.
Coordinate patient care and support patients, families, and caregivers in self-management, self-efficacy, and behavior change, as assigned for the role.
Help manage the practice's patient population, as assigned for the role.
Participate in the practice's quality improvement process and performance evaluation.
Perform other duties as assigned.