Referral Coordinator/Prior Authorization Specialist - Ft Worth

Details of the offer

Summary: Responsible for scheduling IR procedures, and support the physicians, nurses, and patients of the IR department.
Essential Functions: Schedule patients for IR proceduresContact patients, Doctor's office, insurance company, Third Party Administrator demographics, in order to have complete, accurate, compliant patient records.Ensure a written order is received with specific information.Verify insurance coverage, as well as obtain a pre-cert number for the procedure.Obtain updated patient health history, demographics, known allergies, medications, and conditions.Confirm the appointment one day prior to procedure to keep the schedule running smoothly.Act as liaison between referring doctor's office and patient by handling all questions or concerns prior to the procedure to maximize the physicians' time to be maximized for procedures.Handle all necessary paperwork for same day add-ons.Ensure that areas/resources of hospital are available at time of service, without conflicts.Coordinate with referring physician's office or patient to ensure they are instructed to stop appropriate medications and ensure clearance is obtained.Ensure patient has received specific prep instructions, along with time of procedure, what to expect the day of the procedure, and where to check in.Obtain for prior imaging, from outside facilities, to be available prior to scheduling the procedure.Arrange admission to the hospital and enter information into the hospital information system as needed.Reschedule or follow-up with patients as directed.Obtain procedural reports and update the patient's medical record.Request films and charts from Medical Records as directed.Send lab reports to referring physician.Comply with hospital regulations regarding patients and scheduling.Communicate with physicians and nurses to keep updated of necessary changes.Interpret plan provider requirements for pre-certification procedures.Regular and timely attendance required.Serve as resource person to the Business Office for help with coding questionsAssist with maintaining the charge coding sheet.Monitor storage of medical records related to this area of the practice Provide high level of customer service to patients, physicians/PA's/NP's/nurses, referring physicians' offices, hospital staff, RANT co-workers and all external service providers. Define problems, collect data, establish facts, draw valid conclusionsAbility to resolve scheduling conflicts, and patient's concernsSupport group, department and company goals Make recommendations and implements processes to improve work flow.Attend and actively participate in meetings as needed.Ensure efficiency and accuracy of data.Maintain excellent communication between physicians and nurses.Support department and company goalsMake recommendation and/or suggestions to improve procedures.Assist department as needed on special projects.Ensure equipment is in good working order. Qualifications: Education: High school graduate or GED; CPT and ICD-10 certification preferred.
Experience: One to three years related medical office or clinical assistant experience in a high volume environment, or equivalent combination of education and medical office experience.


Skills/Knowledge: Mathematical skills, good verbal and written communication skills. Must be detail oriented, and able to work in a fast-paced environment. Able to manage multiple priorities and personalities. Function as a team player.


Nominal Salary: To be agreed

Source: Grabsjobs_Co

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