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Title

Referral Coordinator 

Category Billing  
Description

Our comprehensive cardiology group is expanding and looking to add to our team.

Cardiac Solutions utilizes a personalized, team-oriented approach to patient care promoting wellness through education, innovation, and technology. Our focus helps to prevent the progression of heart disease and minimize patient hospital admissions. We offer intensive educational opportunities for patients through our disease management clinics and employ a multidisciplinary approach which includes physicians, physician assistants, nurse practitioners, nurses, pharmacy support, medical assistants, and additional clinical and non-clinical support teams.

Pay range of $17.00 - $24.00 per hour depending on direct experience, industry experience and education. This position may also eligible for a $1,500 Sign-On Bonus.

POSITION SUMMARY:

Responsible for obtaining referrals from primary care physicians (PCP) and authorizations from insurance companies for office visits, testing and hospital procedures when the plan requires authorizations. Verifies insurance and applies correct plan information in patient’s accounts. Notifies patients of out-of-pocket responsibility for testing and procedures. This position is may be required to work on New Year's Day and mandatory overtime at the begning of the calendar year.

ESSENTIAL JOB DUTIES:

  • Runs the schedule.
  • Complete schedule within 3 days.
  • Verifies insurances: Primary and Secondary
  • Faxes out referral requests to the patient’s primary care physician (PCP)
  • Requests authorizations from insurances for all high-end testing.
  • Contacts insurances if necessary, regarding information that cannot be obtained via web sites.
  • Contacts the patient when insurance updates are required.
  • Scans referrals and authorizations into registration, once received.
  • Enters necessary changes into the patient’s account prior to the scheduled appointment.
  • Runs daily scheduled add-ons, checks for testing that requires an authorization, appointments that required referrals and verifies insurance.
  • Notifies NTM scheduler by e-mail on all denied NTM appointments.
  • Verifies insurances and obtains authorizations for all inpatient and outpatient hospital procedures.
  • Works closely with the procedures schedulers to assure authorizations are entered before procedures are performed.
  • Consistently seeks resources to stay informed on changing authorization requirements for testing and procedures.
 
Position Requirements

KNOWLEDGE, SKILLS AND ABILITIES:

  • Knowledge of Microsoft Office products

  • Knowledge of HIPAA regulations

  • Knowledge of medical insurances

  • Skill with working with multi-line telephone system

  • Skill in working with outside facilities

  • Ability to maintain confidentiality

  • Ability to work in a fast paced-environment and work well under pressure

  • Ability to maintain professionalism at all times

     

    EDUCATION AND/OR EXPERIENCE:

  • Minimum of one – two years medical referral/authorization experience

  • Prior experience with obtaining authorizations is required.

  • Detail oriented.

  • Excellent verbal and written communication skills.

  • Excellent customer service skills.

  • Medical terminology.

 
Full-Time/Part-Time Full-Time  
Shift Days  
Minimum Education  
Travel Requirements  
Exempt/Non-Exempt Non-Exempt  
Location Peoria Office  
About the Organization Cardiac Solutions is a medical, physician-owned business that provides a comprehensive range of cardiac health services to the general public and referred patients. Founded in 1984 by Dr. Joseph Caplan, our clinics have established a solid reputation for innovative cardiology treatments and personalized cardiovascular care. We are proud of our status as the West Valley's leading cardiology team, specializing in YOUR total heart care. Our board-certified cardiologists always put your treatment and care first, allowing you to have the peace of mind knowing that your heart is in good hands.

With our intensive educational opportunities through nurse-directed clinics, we help prevent the progression of heart disease by offering extensive cardiology testing. Our main goal is to avoid hospital admissions by accurately diagnosing and treating cardiac problems at the earliest possible stage. During this process, you not only build a relationship with your physician, but with the many members of our TEAM, all of whom are focused on YOUR heart health.  
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

To search for an open position, please go to http://JOSEPHACAPLANMDPCdbaCardiacSolutions.appone.com



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