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Title

Referral Coordinator 

Category Billing  
Description

** Join the Cardiac Solutions Team and Receive a $2,000 Sign On Incentive! **

The West Valley’s leading cardiology group is expanding and looking to add valuable and skilled team members to our comprehensive and long-standing Practice.

Cardiac Solutions provides a personalized, team-oriented approach to patient care by promoting wellness through education, innovation, and technology. We offer intensive educational opportunities for patients through our disease management clinics and employ a multidisciplinary approach. All team members play a vital role in providing our patients with tailored care and support services. Our focus helps to prevent the progression of heart disease and minimize hospital admissions for our patients.

  • Competitive wages
  • Uniform/Scrub Allowance
  • Monday – Friday for most positions
  • 7 Company Paid Holidays*
  • Employee Medical coverage option as low as $23.00 per paycheck*
  • Dental & Vision*
  • Supplemental coverage options to include Life/AD&D, Short-Term, Long-Term, Critical Illness, Hospital, Accidental*
  • 401(k) retirement plan
  • Paid Time Off*
  • Paid Sick Time
  • Employee Assistance & Discount Programs

*Available to full-time, regular employees*     -     ** Restrictions may apply **

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 typically required to work mandatory overtime January through March of each calendar year. Please note that the overtime may be changed, modified or canceled at any time with or without notice.

 

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.
  • Calls insurance company to obtain necessary information if it cannot be gathered from the web site.
  • 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 and professionalism.
  • Ability to work in a fast paced-environment and work well under pressure.

 

EDUCATION AND/OR EXPERIENCE:

  • Minimum of one to 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.

 

PHYSICAL DEMANDS/WORK ENVIRONMENT:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the following physical/work environment functions apply:

  • Sit for extended periods of time, stand, talk or hear
  • Type, utilizing a computer keyboard and maneuvering
  • Utilize a multiline telephone system
  • May lift up to 10 lbs
 
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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