Position Details
Department: PCMG-MAIN | PCMG Access Schedulers
Location: Telecommuting
Shift: Mon-Fri, Days, 8am-5pm
Category: Patient Access
Posting #: 1047599
Employee Type: Full-Time
Position Summary
This position processes all outgoing and incoming referrals for a PCP office with some specialty areas. Responsibilities include securing and tracking prior authorizations and assisting with inpatient referrals and authorizations on occasion.
Position Duties
Process Referrals
Processes Referrals to specialty areas for PCP physicians or consulting physicians.
Contacts insurance companies for authorization of procedures and specialty appointments.
Calls specialty offices to coordinate appointments.
Completes referrals on paper or electronically.
Faxes referrals to specialty areas.
Reviews referrals for accuracy and ensures ICD-9 codes, signatures, dates and times are on all forms.
Telephone Calls
Answers incoming phone calls regarding questions about referrals.
Calls patients to advise their referral is complete.
Coordinates any tasks by telephone or in person.
Tracks Authorizations
Completes authorization requests and sends to insurance company.
Communicates with insurance company regarding authorizations and quick processing.
Performs miscellaneous job related duties as requested.