Referral Coordinator - OB/GYN Clinic
American Addiction Centers · United States
FULL TIMEfull-time
Job Description
Department: 02250 AMG Park Ridge 1875 Dempster POB - Obstetrics/Gynecology Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information:
- Monday-Friday from 8:30 am-5:00 pm. No weekends and no major holidays.
- MUST have completed 1 Medical Terminology class with certificate of completion.
- Collect all referrals from medical staff daily and obtain any necessary approvals from attendings.
- Work in all aspects of the referral process, including processing referrals for patients based on primary care physician orders and follow up specialist services recommended.
- Generates necessary correspondence or calls to patients, physicians and office staff, managed care organizations or vendors requesting additional information and requirements for referral authorization.
- Prepare correspondence, input referral information in the automated system, collects additional medical necessity supporting documentation and provide to appropriate parties for approval.
- Identifies potential problems (i.e., labs, x-rays, procedures, and other physicians) with payment of charges from referral by communication with PHO and other managed care specialists.
- H.S. diploma or G.E.D.
- 3-4 years experience in a managed care organization, hospital or physician’s office with 1 year referral experience
- Excellent medical terminology comprehension and its effective usage
- Completion of 1 Medical Terminology class with certificate of completion.
- Ability to work independently.
- Ability to handle stress and high workload volumes.
- Ability to communicate denial of services to members and providers.
- If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.
- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Details
| Company | American Addiction Centers |
| Location | United States |
| Type | FULL TIME |
| Niche | general |
| Experience | full-time |
