- Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance program and more
- Utica Park Clinic, founded in 1982, is a multi-specialty medical group with more than 300 employed physicians and advanced practice providers representing over 25 specialties across 80 plus clinics in Oklahoma.
- We believe healthcare is a team sport and every player has something to contribute. We show compassion, celebrate differences and treat one another with respect.
- Responsible for processing internal, incoming, and external referrals for Ambulatory services, procedures, and medications.
- Obtain prior authorizations, schedule patients, work inbound and outbound phone calls, and communicate with patients via online chat.
- Ensures complete demographic, insurance information, and appropriate/pertaining clinical information is sent to referred specialists.
- Contacts insurance companies to ensure prior approval requirements are met.
- Presents necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove the medical necessity of services.
- Reviews details and expectations about the referral with ordering providers and patients.
- Requests new referrals to be ordered when applicable.
- Identifies and utilizes community resources; establishes relationships with servicing providers and personnel.
- Receive requests for prior authorization through the electronic health record (EHR) and/or via phone or fax and ensure that they are properly and closely monitored.
- Serves as point of contact for patients and specialists for any questions or concerns.
- Process referrals and submit medical records to insurance carriers to expedite prior authorization processes.
- Manage correspondence with insurance companies, physicians, specialists, and patients as needed, including documenting in the EHR as appropriate.
- Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed.
- Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
- High School Diploma or GED
- Desired: Certified Medical Assistant
- Previous medical office experience
- Two or more years of experience with Electronic Health Record (EHR)
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referral coordinator - Tulsa, OK , USA, United States - Ardent Health Services
Description
OverviewJoin our team as a day shift, full-time, Assesment & Referral Coordinator in Tulsa, OK.
Fulfilling your purpose begins here:
People First, Always.
Here's how we take care of our people:
Your team is bigger than your department:
Job Requirements:
Job Requirements:
