Tenet Healthcare Referral Coordinator - San Antonio MSO in San Antonio, Texas
General Summary: A non-exempt medical office position responsible for all referrals for the medical offices in the market
Essential Job Responsibilities:
Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
Process patient referrals for the practices in the market
Facilitates orders outside to outside facilities.
Coordinate scheduling of office visits for the referred patient
Assist patient with finding resources that accept the various insurances
Obtains pre-authorization from payers.
Calls insurance companies to get medications approved that may have been denied due to formulary changes.
Logs in daily to system to check status of patient not mapped correctly and updates patient charts
Set up referring providers, payers and chart mergers in the Electronic System.
Additional responsibilities as needed.
Education: High school diploma/GED required with completion or a medical assisting or medical office assistant program preferred.
Certification : Prefer healthcare management/administration or Medical Assistant certification.
Experience: Must have a minimum of four years of experience working in a medical office setting
Other Requirements: None
Knowledge of insurance verification process
Knowledge of specific Insurances such as Medicare and Tricare Prime
Knowledge of documentation required for physician appointments.
Knowledge of Electronic Health Systems
Knowledge of ICD-9, ICD - 10 and CPT codes
Knowledge of the policies and procedures of a clinic sufficient to provide effective patient care.
Skill in multi-tasking.
Skill in customer service.
Skill in computer hardware and software use.
Skill in verbal and written communication.
Skill in exercising a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives.
Skill in analyzing situations accurately and taking effective action.
Skill in establishing and maintaining effective working relationships with employees, policy-making bodies, third-party payers, patients, and the public.
Skill in organizing work, making assignments, and achieving goals and objectives.
Skill in exercising judgment and discretion in developing, applying, interpreting, and coordinating departmental policies and procedures.
Ability to multi-task, manage details and organize efficiently and effectively.
Ability to read, interpret, and apply policies and procedures.
Ability to set priorities among multiple requests.
Ability to interact with patients, medical and administrative staff, and the public effectively.
Ability to use EMR, other relevant computer hardware and software, telephone, copier, fax machine and other standard medical office equipment.
Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, calculators, etc.
Work Environment: Position is in a well-lit office environment. Occasional evening and weekend work.
Organization: Staff BHS MSO
Title: Referral Coordinator - San Antonio MSO
Location: TX-San Antonio
Requisition ID: 1805009770