Referrals Coordinator - Part Time Job at Desert Oasis Healthcare
Processes Prior Authorization-Referral requests that are received from PCPs and-or Specialty Providers, handles incoming telephone calls and, routinely interacts with physicians and their office staff.
- Understands and follows Utilization Management Policies and Procedures pertaining to the referral process.
- Responds to all incoming calls and/or follows up calls in a timely manner. Performs the necessary research for determining a satisfactory disposition. Voice mail is checked promptly after breaks and lunches.
- Works with the Membership Management and Health Plan Benefits Departments on an as needed basis.
- Documents all applicable notes, reminders, date/time stamps, initials etc involved with the referral process.
- Accepts calls from physicians and/or their office staff, as well as health plan inquiries regarding referral status. When needed, performs the necessary research (i.e., tracks down the referral packet, etc.).
- Is able to achieve and maintain all applicable departmental production standards and goals.
- When time permits, all staff are expected to assist others within the department to facilitate work flow and the referral process.
- Verifies that the patient address in Ez-cap corresponds with prior authorization/referral request form.
- Recognizes health plan types and makes notation of any/all shared risk or other unique payors or providers as directed.
- Recognizes all referral types as well as level of urgency and performs accurate data entry within productivity standards.
- Other duties as assigned.
- High school diploma or equivalent required.
- Two years current experience in a medical office or health plan environment.
- Current knowledge of medical coding and medical terminology.
- Strong computer skills and proficiency in word processing.
- Detail oriented, able to function under pressure and perform multi-tasks at any given time.
- Excellent communication skills, verbal and written.
- At the discretion of DOHC/FHC management, this position has the potential to be a full or hybrid telecommuting position.
Please Note :
www.bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.