Referral Coordinator

Tenet Healthcare Corporation • Scottsdale, AZ

2d

About The Position

The Referral Coordinator is a non-exempt medical office position responsible for managing referrals for medical offices in the market. The role processes patient referrals, coordinates referred patients’ office visits, facilitates orders to outside facilities, and helps patients find resources that accept their insurance. It also involves obtaining payer pre-authorizations, contacting insurance companies about medication approvals, maintaining patient chart and system records, and setting up referring providers, payers, and chart mergers in the electronic system. The position supports Tenet Physician Resources’ mission, policies, privacy standards, and corporate compliance requirements.

Requirements

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

Responsibilities

• Adhere to and support the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
• Adhere to the Tenet HIPAA Compliance Plan and Privacy Standards Confidentiality Agreement.
• Support the Tenet Corporate Compliance Program by understanding compliance responsibilities, following applicable laws and policies, and reporting compliance issues or concerns promptly and appropriately.
• Process patient referrals for practices in the market.
• Facilitate orders to outside facilities.
• Coordinate scheduling of office visits for referred patients.
• Help patients find resources that accept their insurance.
• Obtain pre-authorizations from payers.
• Contact insurance companies to obtain approval for medications that may have been denied due to formulary changes.
• Check the system daily for patients who are not mapped correctly and update patient charts.
• Set up referring providers and payers, and manage chart mergers in the electronic system.

Benefits

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Paid time off
• Career development and continuing education opportunities
• Health savings accounts
• Healthcare and dependent flexible spending accounts
• Employee Assistance Program
• Employee discount program
• Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare, and auto and home insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED