Coordinator-Referrals - FMG - Franciscan Prompt Care Pt Fosdick
Location: Tacoma Washington
Description: Catholic Health Initiatives is employing Coordinator-Referrals - FMG - Franciscan Prompt Care Pt Fosdick right now, this career will be placed in Washington. Further informations about this career opportunity please give attention to these descriptions. Job Summary:
Works with patients requiring a referral to ensure the patient’s referral nee! ds are fulfilled.
Incumbent obtains and processes all referrals, authorizations and pre-certifications for patients requiring ancillary testing and/or surgical procedures to ensure timely reimbursement.
Incumbents are accountable for; 1)
processing referral orders and gathering patient insurance eligibility information and obtaining pre-authorizations 2) coordinating patient appointments 3)
distributing pre-visit instructional materials to patients, 4) providing cost estimate and benefits information and 5) coordinating the rental and/or purchase of medical materials and equipment
Essential Duties:
Processes referral orders and/or pre-authorizations.
Ensures that insurance eligibility checks have been conducted on all referrals before the patient is seen, either by escalating to the Insurance Verifier, or by directly checking on eligibility.
Completes referrals and/or pre-authorization, before the pat! ient is seen, for diagnostic testing, therapy, surgeries, proc! edures and specialty care according to requirements and patient preference.
Provides information to patients regarding their health care plan; interprets and communicates plan policies and procedures to employees, physicians and members (patients).
Provides patients with answers to billing and insurance clarification questions; obtains a cost estimate when requested, and explains insurance benefit coverage to patient.
Notifies physician(s) and patient when referral is denied or if a second opinion or additional info is needed.
Updates the patient’s medical record as necessary.
Copies/scans documents into correct location within electronic medical record.
May interact with referring clinic to ensure successful coordination of patient care
Coordinates appointments and ancillary services.
Coordinates patient clinic visits based on authorized referral in accordance with established standards and procedure! s; gathers and documents insurance eligibility data, conducting routine verifications that can be done quickly during conversation; enters data in patient’s electronic medical record as appropriate.
Identifies patients requiring contact to confirm a referral appointment; contacts patient in accordance with established procedures.
Contacts and follows up with patients to reschedule a missed/cancelled appointment; documents reason(s) for no-show in accordance with established procedures; notifies management if patient has violated a policy and further action is required
Responds to patient questions regarding routine billing and insurance matters.
Provides basic information in response to patient questions on billing and insurance matters; obtains a non-complex cost estimate when requested; refers questions regarding more complex cost estimates/benefits information to Financial Counselor
Coordinates patient instructional/educatio! nal activities relevant to the patient’s referral.
Works wit! h clinic team, patients and/or employers to ensure that patients receive adequate instructions and information regarding educational opportunities relevant to the patient’s referral; provides information to patients regarding their referral appointment and service for testing, financial policies, registration requirements, etc.
Provides patient with pre-visit prep materials; packages materials to correspond with type/nature of patient appointment and sends to patient in a timely manner
Coordinates purchase of materials and/or the rental of medical equipment relevant to the patient’s referral.
Follows up with patients when equipment return is due
Other
:
Performs related duties as required.
Qualifications
Education/Experience:
High school diploma (or GED equivalent), successful completion of an accredited medical terminology course(s) or equivalent on the job training, and two years of pro! gressively responsible work experience in patient scheduling/registration, insurance verification, financial counseling, or related function.
Or any equivalent combination of education and experience which provides the required knowledge, skills and abilities to perform the essential functions of the position
License/Certification:
None required
Additional Responsibilities:
Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
Adheres to and exhibits our core values:
Reverence:
Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.
Integrity:
Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.
Compassion:
! Feeling with others, being one with others in their sorrows and joys, ! rooted in the sense of solidarity as members of the human community.
Excellence:
Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
Maintains confidentiality and protects sensitive data at all times.
Adheres to organizational and department specific safety standards and guidelines.
Works collaboratively and supports efforts of team members.
Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community.
Catholic Health Initiatives and its organizations are Equal Opportunity Employers CB
Job
Administrative and Clerical
Primary Location
WA-Tacoma
Shift
1
Scheduled Hours per 2-week Pay Period
80
Weekends Required
None
Status
Full Time
- .
If you wer! e eligible to this career, please email us your resume, with salary requirements and a resume to Catholic Health Initiatives.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Fri, 25 Oct 2013 13:46:31 GMT
Apply Coordinator-Referrals - FMG - Franciscan Prompt Care Pt Fosdick Here