Prior Authorization Associate Clinic Coordinator (887734)

Medexpress Fort Worth , TX 76102

Posted 3 weeks ago

Position Description

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

The Referral Coordinator is responsible for answering calls and scheduling physician appointments as well as scheduling physician to physician referrals in an efficient and timely manner. Additional responsibilities include making outbound calls to schedule appointments which include scanning, tracking, adding patients to the appointment waitlist, and working all incoming referrals according to urgency and established timelines. To schedule medical appointments and diagnostic services from providers' offices and patients that arrives in the call center via phone or fax.

Primary Responsibilities:

  • Track incoming physician referrals by urgency and work them accordingly in compliance with established timelines

  • Work batch files, scan, print, and schedule medical and diagnostic services appointments when requested by patients and doctors' offices

  • Make outbound calls to patients to schedule medical and diagnostic appointments with requested physicians

  • May occasionally work days on the phones to assist the PSR's

  • Work daily physician reports for pending appointments as well as following up with patients that have been added to the Referral Wait List

  • Scan all pertinent patient/demographic records into the patient's chart

  • Communicate status of appointment to the referring physician

  • Monitor upcoming schedules for schedule optimization and make adjustments when necessary

  • Assist Patient Services Representatives with all related duties; act as backups during high volume phone call days

  • Attend meeting as required

  • For bilingual speaking employees, act as a translator to assist patients and others that may have a need

  • Maintains strictest confidentiality

  • Performs other duties as assigned

Required Qualifications:

  • High school diploma or GED
  • Proficiency with MS Office products including Word, Excel, Access, PowerPoint and Outlook

Preferred Qualifications:

  • Outstanding interpersonal, written, and verbal communication skills.

  • Strong customer service skills

  • Ability to work effectively with all levels of management and other colleagues

  • Ability to multi-task, detail-oriented with strong time management skills

  • High level of professional integrity and confidentiality

Physical and Mental Requirements:

  • The employee is regularly required to use hands to finger, grasp, handle, or feel and to reach with hands and arms

  • The employee is frequently required to sit, stand, walk, see, speak, and hear

  • The employee is occasionally required to kneel, climb, or balance

  • The employee is regularly required to lift up to 10 pounds and rarely lift more than 25 pounds

USMD part of OptumCare is a multi-specialty group of hospital, clinics and physicians. USMD serves the Dallas-Fort Worth metropolitan area with more than 250 physicians and associate practitioners, and provides healthcare services to patients in more than 20 different specialties at its 2 hospitals, 4 cancer treatment centers and nearly 50 physician clinics, many of which are multi-specialty.

Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Prior Authorization, Referrals, Insurance Verification, Check in/out, Scheduling, Medical Office Assistant, Receptionist, Pre-certifications

Job Details

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Prior Authorization Associate Clinic Coordinator (887734)