Referral & Precert Spec

Covenant Health•Morristown, TN

1d•Onsite

About The Position

Covenant Medical Group is the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty services. We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home. This position directs the daily operation of scheduling for inpatient/outpatient procedures and services, and obtains any necessary referrals or pre-certifications.

Requirements

Medical terminology knowledge required.

Nice To Haves

HS diploma or GED preferred.

Responsibilities

Schedules inpatient/outpatient tests, procedures and appointments as directed by provider.
Documents each scheduled event in detail in the medical record file.
Accurately completes all forms required for referrals and pre-certifications.
Maintains knowledge of requirements and guidelines as mandated by insurance plans, hospitals and outpatient facilities.
Maintains accurate testing, referral and appointment logs with follow-up verification in the referral tracking database.
Maintains knowledge of ICD-9 and CPT coding and basic computer skills.
Coordinates date, time and location of procedure/appointment with the patient, facility and provider.
Communicates appointments as well as special instructions regarding scheduled procedure/appointment with the patient.
Reports any problems obtaining referrals, pre-certifications or appointments as ordered by the provider.
Collaborates with the patient, physician and other care team members as part of a team based approach to overall patient care.
Follows policies, procedures, and safety standards.
Completes required education assignments annually.
Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Performs other duties as assigned.