Patient Referral Specialist - FMG - Tacoma Orthopaedic Surgeons
Location: Tacoma Washington
Description: Franciscan Medical Group is at the momment seeking for Patient Referral Specialist - FMG - Tacoma Orthopaedic Surgeons right now, this job will be placed in Washington. More details about this job opportunity please read the description below. Job Summary:
Responsible for making sure all referrals are complete, accurate and processed in a timely manner includes scheduling appointments and verifying that the patient has received the care PCP had requested. Notifying PCP if patient did not follow through with referral. Educate patients regarding the health care plan they have chosen. Act as a liaison between the primary care provider, patients, specialists, and health plans.
Essential Duties:
Maintains up-to-date knowledge of all health care plans; educating patients regarding the health care plan they have chosen. Interprets and communicates plan policies and procedures to employees, physicians and members (patients).
Completes referrals and/or pre-authorizations for diagnostic testing, therapy, surgical and specialty care according to requirements. Notifies physician(s) and patient when referral is approved, denied or if a second opinion or additional information is required.
Maintains health care plan information and correspondence. Communicates with physicians and staff, as necessary with updates and/or changes.
Collects and presents data regarding health care utilization, referral patterns and preauthorization compliance on a regular basis (according to clinic operational policy). Identifies specialists office needs to ensure successful patient care and experience.
Answers patient, specialists, PCP's and testing facility questions and inquiries regarding their referrals.
Identifies and resolves customer service issues. Monitors customer service trends and report to management as necessary.
Facilitate patient care process through to completion, scheduling of appointments, arranging interpreters and transportation if necessary. Provide PHI to specialist to include follow up. Verifies that the patient has followed through with the referral.
Maintain tracking database/spreadsheet regarding referrals and reporting them to manager/designee when required.
Other: Performs related duties as required.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Franciscan Medical Group.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Mon, 09 Jul 2012 09:29:33 GMT
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