Healthcare Referral Coordinator – Scheduling & Payer Support

Socket.dev; Tucson (AZ); On-site; USD 2,066,000 - 3,031,000; Full time

Job summary

Tucson Physician Group Holdings LLC, also known as Carondelet Medical Group, is seeking a non-exempt medical office professional responsible for handling all referrals for the market's medical offices.

The role supports the referral workflow: processing patient referrals, coordinating scheduling, assisting patients with insurance resources, obtaining prior authorizations, and maintaining accurate charts in the electronic system.

Qualifications

• Education: High school diploma/GED or equivalent working knowledge.
• Experience: One year direct patient experience in a medical insurance or healthcare related industry.

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.

Education

High school diploma/GED or equivalent working knowledge

Job description

Tucson Physician Group Holdings LLC, also known as Carondelet Medical Group, is seeking a non-exempt medical office professional responsible for handling all referrals for the market's medical offices.

The role supports the referral workflow: processing patient referrals, coordinating scheduling, assisting patients with insurance resources, obtaining prior authorizations, and maintaining accurate charts in the electronic system.