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Goodyear

    Referral Coordinator for Abrazo Brain Spine West Campus - Goodyear, United States - Tenet Healthcare Corporation

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    Description
    Summary

    A non-exempt medical office position responsible for all referrals for the medical offices in the market

    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 or equivalent working knowledge

    Experience:
    One year direct patient experience in a medical insurance or healthcare related industry.

    #LI-KK1

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