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Title

In Office Testing - Referral Coordinator 

Category Billing  
Description

POSITION SUMMARY:

Responsible for obtaining referrals from primary care physicians (PCP) and authorizations from insurance companies for in office testing. Verifies insurance and applies correct plan information in patient's accounts. 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:

  • Verifies Primary and Secondary insurance plans.
  • Verifies and updates patient registration information in the practice management system.
  • Contact Healthcare insurance for office visits Referral and Authorization requirements.
  • Review procedure orders and documentation to determine necessity of prior auth.
  • Obtain Authorization for procedure performed in office for testing.
  • Assist with internal emails.
  • Other duties and tasks assigned as appropriate or necessary.
  • 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-year medical eligibility/referral/authorization experience.
  • 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, stand, bend, lean, talk, and hear for extended periods of time.
  • Type, utilizing a computer keyboard and maneuvering a computer mouse.
  • May lift up to 25 lbs.
  • Utilize a multi-line telephone system.
 
Full-Time/Part-Time Full-Time  
Shift -not applicable-  
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 accepting applications.

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