Referral Coordinator Abrazo Brain and Spine West

Conifer Health Solutions • Goodyear, AZ

5d

About The Position

A non-exempt medical office position responsible for all referrals for the medical offices in the market

Requirements

• Education : High school diploma/GED or equivalent working knowledge
• Experience : One year direct patient experience in a medical insurance or healthcare related industry.

Responsibilities

• Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
• Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
• Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
• Process patient referrals for the practices in the market
• Facilitates orders outside to outside facilities.
• Coordinate scheduling of office visits for the referred patient
• Assist patient with finding resources that accept the various insurances
• Obtains pre-authorization from payers.
• Calls insurance companies to get medications approved that may have been denied due to formulary changes.
• Logs in daily to system to check status of patient not mapped correctly and updates patient charts
• Set up referring providers, payers and chart mergers in the Electronic System.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees