REFERRAL & PRECERT SPEC

Covenant Health • Sevierville, TN

2d

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 or pre-certifications. The role coordinates procedure and appointment details with patients, facilities, and providers; documents and tracks scheduled events; and communicates appointment information and special instructions to patients. The position also collaborates with patients, physicians, and other care team members to support overall patient care.

Requirements

• Medical terminology knowledge is required.
• Knowledge of ICD-9 and CPT coding.
• Basic computer skills.
• Sufficient formal education and/or prior work experience to demonstrate the knowledge, skill, and ability needed to perform the essential job tasks; this is typically equivalent to a high school diploma or GED.

Nice To Haves

• Previous referral or pre-certification experience.
• High school diploma or GED.

Responsibilities

• Schedule inpatient and outpatient tests, procedures, and appointments as directed by the provider, and document each scheduled event in detail in the medical record.
• Complete forms required for referrals and pre-certifications accurately.
• Follow requirements and guidelines set 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 or appointments with the patient, facility, and provider.
• 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 required meetings and participate on committees as directed.
• Collaborate with patients, physicians, and other care team members as part of a team-based approach to overall patient care.

What This Job Offers

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