Referral Coordinator - Halls Family Practice

Summit Medical Group; Knoxville (TN); On-site; USD 21,000 - 26,000; Full time

Job summary

Halls Family Practice within Summit Medical Group is seeking a Referral Coordinator in Knoxville, TN to manage referrals to specialists, handle pre-authorizations, and assist with patient check-outs.

This full-time front-office role requires coordinating with patients, doctors, and insurance contacts, completing referral forms, and scheduling appointments while maintaining HIPAA compliance and accurate documentation.

Qualifications

• High School Diploma or GED required.
• Prefer one-year experience in a medical billing setting.

Responsibilities

• 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.
• Maintains daily logs of contacts and job completions.
• Assists with other front office functions as requested, such as scanning, answering phones, check-in, etc.

Education

High School Diploma or GED

Job description

Halls Family Practice is seeking a Referral Coordinator. The referral coordinator is responsible for the arrival of referrals to specialists' offices prior to patient scheduled appointment as well as handling patient check outs. This is a Full time opportunity.

Examples of Duties

• 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.
• Utilizes Athena appropriately to include chart viewer which ensures proper documentation in patient's 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 scanning, 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.
• Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.
• Performs other duties as assigned by physicians, Site Manager, or corporate Administration.

Education

High School Diploma or GED required.

Experience

Prefer one-year experience in a medical billing setting.

Summit Medical Group is East Tennessee's largest primary care organization with more than 566 providers at 103 practice locations in 23 counties. Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, four express clinics, central laboratory, and sleep services center. Summit provides healthcare services to more than 478,000 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. Pre-employment drug testing will occur prior to starting work and only candidates who pass the drug test will be considered eligible for employment.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.