Coordinates patient information to ensure that referral requests are received, in proper order, analyzed and forwarded to appropriate physicians for completion. Initiates requests for pre-certification and authorization of patient services, verifies insurance information, data entry of documents and authorizations, communicates status of authorizations to medical staff.
Schedules referral appointments for tests, procedures, and follow-up. Performs other clerical duties as needed, which may include billing/posting, verifying insurance information, scheduling appointments, handling patient inquiries, and front office reception and/or discharge.
About Heritage Valley Health System
Heritage Valley Health System is $480 million integrated delivery network providing comprehensive health care for residents of Allegheny, Beaver, Butler and Lawrence counties, in Pennsylvania; eastern Ohio; and the panhandle of West Virginia. In partnership with 3,500 employees and more than 450 physicians, Heritage Valley offers a broad range of medical, surgical and diagnostic services at its two hospitals, Heritage Valley Sewickley and Heritage Valley Beaver; in 60 physician offices; and 18 community satellite facilities
For more information about Heritage Valley Health System, please visit www.heritagevalley.org.
Requirements High school diploma or GED. Knowledge of medical terminology and ICD-9 and 10 CPT coding.
Computer skills. Successful completion of applicable clearances as outlined in Human Resources policy HR-106 within 90 days of commencing employment.
Preferred: Physician Office experience, referral experience.
Heritage Valley Health System