Purpose:
Process task, document and communicate relative appointment scheduling, authorization, prior approval, and benefit and collections information in Practice Management system.Â
Essential Duties/Responsibilities:Â
- Obtain from entity appointment, authorization, prior approval, and benefit information for relative assigned tasks.Â
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- Obtain and provide to entity required paperwork i.e., demographic, insurance, medical records etc.Â
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- Document obtained information in the Practice Management system.Â
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- Communicate with suite of origin relative required information.
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- Communicate with patient relative required information i.e., appointment, authorization, benefits, and collections.
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- Work collaboratively with Central Business Office on relative claims follow-up.Â
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Other Duties:
- As assigned by manager
Qualifications:
Required:
- High school diploma, GED, or high school equivalency
- 3 to 5 years' experience in a medical office environmentÂ
- (Or) equivalent combination of education and experience
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Referral Coordinator Competencies
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General
- Customer Experience Â
- Professionalism/Integrity/Responsibility
- Teamwork/Lean Process Focus
- Dependability/Punctuality
- Interpersonal Relationships/Communication
- Judgment/Decision Making/Problem Solving
- Quality/Quantity
- Initiative /Game Changer
- Safety/Housekeeping
- Organizational Skills/Time Management
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Department Specific
- Greets, acknowledges, and provides closure for customer needs in a professional manner. Â
- Follows Referral /Managed Care process to obtain, document and communicate appointment, authorization, prior approval, benefits, and collections and payment information.
- Follows HIPAA guidelines for internal / external communications.
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