Referral & Precert Spec

Covenant Health•Sevierville, TN

18h

About The Position

The Referral & Precert Specialist at LeConte Cardiology directs the daily operation of scheduling inpatient and outpatient procedures and services and obtains necessary referrals and pre-certifications. The role coordinates appointments among patients, facilities, and providers, communicates appointment details and special instructions, and supports team-based patient care. No specific minimum education or licensure is required. Applicants must have knowledge of medical terminology; previous referral or pre-certification experience is preferred.

Requirements

Knowledge of medical terminology.
Ability to demonstrate the knowledge, skills, and abilities needed to perform the essential tasks, typically equivalent to a high school diploma or GED; preference may be given to individuals possessing a high school diploma or GED.
Knowledge of ICD-9 and CPT coding and basic computer skills.

Nice To Haves

Previous referral or pre-certification experience.

Responsibilities

Schedule inpatient and outpatient tests, procedures, and appointments as directed by the provider.
Document each scheduled event in detail in the medical record file.
Complete all forms required for referrals and pre-certifications accurately.
Apply knowledge of requirements and guidelines mandated by insurance plans, hospitals, and outpatient facilities.
Maintain accurate testing, referral, and appointment logs, with follow-up verification in the referral tracking database.
Coordinate the date, time, and location of procedures and appointments with patients, facilities, and providers.
Communicate appointments and special instructions regarding scheduled procedures or appointments to patients.
Report problems obtaining referrals, pre-certifications, or appointments as ordered by the provider.
Perform other duties as assigned or requested.
Attend meetings as required and participate on committees as directed.
Collaborate with patients, physicians, and other care team members as part of a team-based approach to patient care.