Referral Coordinator

Summit Medical Group Knoxville , TN 37902

Posted 2 months ago

Overview

About Summit Medical Group

Summit Medical Group is East Tennessee's largest primary care organization with more than 300 providers at 66 practice locations in 15 counties. Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, four express clinics, central laboratory, extensivist clinic, and sleep services center. Summit provides healthcare services to more than 280,000 patients, averaging over one million encounters annually. For more information, visit www.summitmedical.com

In addition to our commitment to the health of our community, our organization is also committed to the health of our employees through our employee Wellness Program. Employees receive a discounted monthly insurance premium if they actively participate in the wellness program. Furthermore, Summit Medical Group hires only non-tobacco users. Pre-employment drug testing will include testing for nicotine, and only candidates who pass the drug test will be considered eligible for employment.

Responsibilities

About Our Career Opportunity

Rheumatology Associates, a division of Summit Medical Group, is seeking a Referral Coordinator. The referral coordinator is responsible for generating Prior Authorizations for our patients medications as well as patient assistance through the Pharm D companies. Prior Authorization experience preferred.

This is a Full time opportunity, working M-F, 8am-5pm.

EXAMPLES OF DUTIES: (List does not include all duties assigned)

  • Handles patient check out procedures, collects co-pays, schedules follow up appointments, etc.

  • Receives and returns phone calls to patients, other physicians' offices, insurance companies and other offices as appropriate.

  • Completes all referral forms correctly and timely and faxes / mails forms to other physicians' offices, insurance companies and other appropriate recipients.

  • Schedules patients' appointments as needed.

  • Responsible for prior telephonic approvals when needed for telephonic pre-certification.

  • Contacts other physicians and outpatient facilities to make appointments for other examinations or procedures.

  • Pull patients' charts when needed, ensuring proper documentation. Responsible for placement of documents in patients' charts.

  • Maintains daily logs of contacts and job completions.

  • Advises patients of PCP protocol regarding referral process, insurance companies, patients' responsibilities, etc. Keeps updated regarding insurance companies policies and procedures.

  • Assists with other front office functions as requested, such as filing, answering phones, check-in, etc.

  • Performs duties in a professional manner while exhibiting a courteous and cooperative demeanor to patients, co-workers, management, and the public.

  • Adheres to established policies and procedures (including OSHA guidelines.)

  • Adheres to all appropriate aspects of the corporate compliance plan.

  • Performs other duties as assigned by physicians, Site Manager, or corporate Administration.

Qualifications

EDUCATION: High School Diploma required. Vocational or college credits preferred.

EXPERIENCE: Clinical experience preferred. Insurance company / managed care procedural experience preferred.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Certified Medical Assistant/ Referral Coordinator

Summit Medical Group

Posted 2 months ago

VIEW JOBS 12/9/2021 12:00:00 AM 2022-03-09T00:00 Overview About Summit Medical Group Summit Medical Group is East Tennessee's largest primary care organization with more than 300 providers at 66 practice locations in 15 counties. Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, four express clinics, central laboratory, extensivist clinic, and sleep services center. Summit provides healthcare services to more than 280,000 patients, averaging over one million encounters annually. For more information, visit www.summitmedical.com In addition to our commitment to the health of our community, our organization is also committed to the health of our employees through our employee Wellness Program. Employees receive a discounted monthly insurance premium if they actively participate in the wellness program. Furthermore, Summit Medical Group hires only non-tobacco users. Pre-employment drug testing will include testing for nicotine, and only candidates who pass the drug test will be considered eligible for employment. Responsibilities About Our Career Opportunity Halls Family Physicians, a division of Summit Medical Group, is seeking a Certified Medical Assistant to work as a Referral Coordinator. The referral coordinator is responsible for the arrival of referrals to specialist's offices prior to patient scheduled appointment as well as handling patient check outs. Must have certification to enter orders. This is a Full time opportunity, working M-F. EXAMPLES OF DUTIES: (List does not include all duties assigned) * Handles patient check out procedures, collects co-pays, schedules follow up appointments, etc. * Receives and returns phone calls to patients, other physicians' offices, insurance companies and other offices as appropriate. * Completes all referral forms correctly and timely and faxes / mails forms to other physicians' offices, insurance companies and other appropriate recipients. * Schedules patients' appointments as needed. * Responsible for prior telephonic approvals when needed for out-of-network specialists and for telephonic pre-certification when needed for specialists. * Contacts other physicians and outpatient facilities to make appointments for other examinations or procedures. * Pull patients' charts when needed, ensuring proper documentation. Responsible for placement of documents in patients' charts. * Maintains daily logs of contacts and job completions. * Advises patients of PCP protocol regarding referral process, insurance companies, patients' responsibilities, etc. Keeps updated regarding insurance companies policies and procedures. * Assists with other front office functions as requested, such as filing, answering phones, check-in, etc. * Performs duties in a professional manner while exhibiting a courteous and cooperative demeanor to patients, co-workers, management, and the public. * Adheres to established policies and procedures (including OSHA guidelines.) * Adheres to all appropriate aspects of the corporate compliance plan. * Performs other duties as assigned by physicians, Site Manager, or corporate Administration. Qualifications EDUCATION: High School Diploma required. Vocational or college credits preferred. Licensure/Certification: Certified Medical Assistant preferred. EXPERIENCE: Clinical experience preferred. Insurance company / managed care procedural experience preferred. Summit Medical Group Knoxville TN

Referral Coordinator

Summit Medical Group