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.

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