Referral Coordinator

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

Carondelet St Joes Plaza
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.

Qualifications

Education: High school diploma/GED or equivalent working knowledge

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

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Fuel your passion for patient-centered care and elevate your medical career in our thriving physician office. Join our collaborative team, where every day brings new opportunities to make a meaningful impact on the well-being of our community.

At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Tucson Physician Group Holdings LLC, also known as Carondelet Medical Group, is one of Tucson's premier destinations for primary care and multispecialty services. Our comprehensive offerings include high-quality care in cardiology, orthopedics, neurology, neurosurgery and urology. Our services are designed to meet and exceed the medical needs of our patients. With over a dozen convenient locations in and around Tucson, we make quality healthcare easily accessible to patients and their loved ones.