Referral Coordinator for Women's Services (Part-time)(Days)

Tanner Health•Villa Rica, GA

120d•Onsite

About The Position

The Referral Coordinator for Women's Services is a part-time position responsible for a variety of tasks related to patient care coordination. This role involves verifying insurance benefits, establishing payment plans, informing patients about appointment times for procedures, following up with patients after procedures, and scheduling additional tests as needed. The coordinator will also assist with front desk and phone duties as required. The position requires frequent contact with individuals both inside and outside the organization to ensure smooth operations and patient satisfaction. Errors in this role could lead to serious consequences such as improper costs, overpayment, waste of materials, equipment damage, and processing delays, with effects often contained within the organization. The role involves handling confidential data, including patient medical records, which necessitates strict confidentiality. The position does not involve supervisory duties but requires the ability to plan and arrange one's own work to achieve objectives, applying knowledge of a specific field using varied procedures. The role may involve occasional exposure to dirt, odors, noise, temperature/weather extremes, and occupational risks, including contact with bloodborne pathogens and other infectious materials. Specific tasks may involve contact with blood, blood-contaminated body fluids, other body fluids, or sharps.

Requirements

High School Diploma or GED
One year of related experience
One-year previous collection experience required
Working knowledge of CPT and ICD-9 coding required
Ability to organize, analyze and prioritize work
Business like appearance
Detail-oriented
Ability to multitask
Ability to work closely with others and function as a team member
Exhibit exceptional communication skills
Must possess the initiative and drive to take a project from beginning to a successful completion
Requires frequent contact with many persons at different levels inside and outside of the organization to carry out organization policies and programs and obtain willing acceptance, consent, or action
Probable errors may be serious and involve losses such as improper costs, overpayment, waste of material, damage to equipment, and delay in processing work
Most of work not subject to direct verification or check
Regularly works with some confidential data such as account, salaries, patient medical records, which if disclosed might have adverse internal or external effects
Exercises no supervision, work direction, or instruction of other employees or students
Assignment requires planning and arranging own work to reach definite objectives
Applies knowledge of a specific field using several varied procedures or techniques
Solves non-routine technical, treatment, or operational problems under general guides
Moderate physical effort - Lifts, carries, or handles lightweight (1 to 25 lbs.) materials or equipment for about half of the day
Very occasional physical effort with medium weight objects (25- 60 lbs.)
Office or laboratory work requires close visual effort and concentration more than half of day
Works in reaching or strained positions for less than half of day
Occasionally involved in exposure to dirt, odors, noise, or some work is performed with exposure to temperature/weather extremes/occupational risk and probability of coming into contact with bloodborne pathogens, other potentially infectious diseases, or biomedical/bio-hazardous materials
Performs tasks involving contact with blood, blood-contaminated body fluids, other body fluids, or sharps (needles)
Continually (at least once per day) Hearing
Continually (at least once per day) Visual
Frequently (at least 3 times a week) Typing
Frequently (at least 3 times a week) Manual Dexterity – picking, pinching With fingers etc.
Frequently (at least 3 times a week) Speaking
Frequently (at least 3 times a week) Standing
Frequently (at least 3 times a week) Walking
Frequently (at least 3 times a week) Lifting up To 25 lbs.
Frequently (at least 3 times a week) Carrying

Nice To Haves

Data entry experience preferred

Responsibilities

Verify insurance benefits
Establish payment plans
Inform patients of appointment times for procedures
Call patients after procedures
Schedule additional tests as needed
Work practice front desk and phones as needed
Address patient inquiries and complaints from all sources in a timely manner
Initiate necessary corrections to patient accounts and attempt to repair damage done to relationship with patient
Interact with co-workers, physician offices, and insurance carriers
Participate in patient satisfaction initiatives
Communicate effectively with patients and management regarding service recovery opportunities
Work with other team members to achieve Office and System customer service goals
Maintain a current knowledge of TMG Billing and Collection Procedures as well as clinic policies
Develop and maintain a high level of expertise in collection rules and regulations
Develop and maintain a working knowledge of CPT and ICD coding
Participate in continuing education
Participate in the development of new programs
Schedule outpatient procedures and referrals
Obtain pre-certification/prior authorizations for procedures, outpatient tests, and referrals
Prepare charts prior to procedures
Inform patients about procedure prep and clearance
Ensure informed consents are signed within 30 days of procedure
Confirm procedure schedule with physician(s), surgical department, and other departments as necessary
Perform post-procedure call backs per physician instructions
Indicate follow-up calls to patients by entering detailed comments in the medical record
Responsible for verifying insurance information/benefits as needed for procedures
Responsible for establishing payment plans and notifying patients of any insurance problems
Work with others in the department to solve problems and make process improvements
Prepare productivity reports each month, including but not limited to procedure and follow up calls made
Assist with special projects as needed
Serve as TMG contact for information needed within the practice
Work rejections/denials on a daily basis and re-bill as needed
Assist in education of front office staff to reduce denials
Maintain strict confidentiality
Maintain working knowledge of equipment and remove faulty equipment from use as necessary
Participate in safety programs
Work well with others and function as a team player
Offer ideas and solutions for issues that affect the team and work area
Stocking and ordering of supplies as needed
Maintain patient care areas
Participate in the training and skills development of new front office employees
Assist in other areas of the office as necessary
Perform other duties as assigned
Perform within the prescribed limits of Tanner Health System's Ethics and Compliance program
Detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline