Precert​/Referral Coordinator - Gastro

Overview

Provides a variety of patient and customer service related activities within the Physician Practice, particularly liaison with other physicians' offices and insurance companies. Activities include greeting patients and the public, answering and screening telephone calls, scheduling patient appointments, preparing the medical record, and serving as the liaison between the patient and medical support staff. Performs general office duties such as data entry, filing, balancing charges and collections at the end of each day.

Provides patients with insurance pre-certification and schedules specialist referrals. Performs any other duties as directed.

This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned to manage the practices  patient population.

Participates in the practice s quality improvement process and performance evaluation.

• Greet patients and the public; screen and answer telephone calls.
• Schedule patient appointments and prepare medical records.
• Serve as liaison between patients and medical support staff.
• Perform general office duties such as data entry, filing, and balancing charges and end-of-day collections.
• Provide patients with insurance pre-certification and schedule specialist referrals.
• Perform any other duties as directed.

• Required: High School diploma or equivalent.
• Preferred: Experience in a health/medical setting; understanding of insurance plans and referrals, pre-authorizations, appointment scheduling, data entry, and deposits. Computer experience with MS Windows, Outlook and medical software applications.
• Required: Previous experience in a health/medical setting.
• Preferred: Minimum 2 years in a physician’s practice. Knowledge of medical billing including CPT and ICD 9 & 10 coding.

• Required: License/Certification/Registration

Provides a variety of patient and customer service related activities within the Physician Practice structure and as the liaison between external departments, physician s offices and insurance companies. These activities include greeting internal and external customers, entering phone messages into the EMR system, scheduling appointments in Flow Cast, performing general office duties, accurate data entry, filing, obtaining pre-certification and pre-authorizations for procedures and medications, scheduling referrals for patients via the referral proxy and fax system, and all other duties as assigned.

Physician Practices Chattanooga, TN. Precert/Referral Coord. Standard

Hours:

Regular.