Referral Representative - Women's Oncology - Full-Time Erlanger Health System Chattanooga

Title Referral Representative - Women's Oncology - Full-time
Date 2020
Company Erlanger Health System
City Chattanooga

Short Description :

Telephone etiquette Obtain Referrals, precertifications and priorauthorizations faxing forms, and/or making calls to insurance companies Work requires knowledge of general business principles in a related healthcare or business field, or equivalent ,…

Full Description :

Referral RepresentativeWomen's OncologyFull-Time (28760) -Physician Practices Referral Representative RegularNon-exemptFull-timeStandard Hours 37.5 Description Job Summary: Obtain Referrals, pre-certifications and prior-authorizations faxing forms, and/or making calls to insurance companies. Schedule all procedures and the necessary pre-certification. Schedule all diagnostic appointments, diagnostic testing and procedures; confirming scheduled date/time, and patient notification. Document all referrals, procedures, and diagnostic tests in the appropriate log books and retain the information for review. Scans all the referrals into the Pts. EMR. Act as back-up for the PSR positions(s). Perform other duties as directed. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation. Education: Required: High school diploma Preferred: Medical Terminology course is desired Experience: Required: Must be proven to possess excellent communication skills and be able to interface appropriately with others of multiple ethnic and educational backgrounds. Highly organized, detail-oriented, self-starter with strong math skills who can function efficiently and professionally with all customers, both internal and external, in a demanding environment. Clerical experience and/or hospital experience a requirement. Always poised, courteous, pleasing personality and great telephone etiquette. Work requires knowledge of general business principles in a related healthcare or business field, or equivalent combination of education and experience. Previous experience with appointment scheduling, referrals, patient registration and data entry. Also will assist with other office functions such as chart preparation, as needed. Preferred: Position Requirement(s): License/Certification/Registration Required: N/A Preferred: Department Position Summary: Obtain Referrals, pre-certifications and prior-authorizations faxing forms, and/or making calls to insurance companies. Schedule all procedures and the necessary pre-certification. Schedule all diagnostic appointments, diagnostic testing and procedures; confirming scheduled date/time, and patient notification. Document all referrals, procedures, and diagnostic tests in the appropriate log books and retain the information for review. Scans all the referrals into the Pts. EMR. Act as back-up for the PSR positions(s). Perform other duties as directed.

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