Referral Coordinator
Job Details
Description
A non-exempt medical office position responsible for all referrals for the medical offices in the market
2503009331- 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.
Qualifications
Education: High school diploma/GED or equivalent working knowledge
Experience: One year direct patient experience in a medical insurance or healthcare related industry.
Tenet Healthcare/TPR complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
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Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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E-Verify: http://www.uscis.gov/e-verify