Referral Coordinator For Arizona Sports Medicine Scottsdale

Summary

A non-exempt medical office position responsible for all referrals for the medical offices in the market

Responsibilities

• Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.

• Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.

• Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.

• Process patient referrals for the practices in the market

• Facilitates orders outside to outside facilities.

• Coordinate scheduling of office visits for the referred patient

• Assist patient with finding resources that accept the various insurances

• Obtains pre-authorization from payers.

• Calls insurance companies to get medications approved that may have been denied due to formulary changes.

• Logs in daily to system to check status of patient not mapped correctly and updates patient charts

• Set up referring providers, payers and chart mergers in the Electronic System.

• Additional responsibilities as needed.

Education: High school diploma/GED or equivalent working knowledge

Experience: One year direct patient experience in a medical insurance or healthcare related industry.

#LI-KK1

2403006382