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Work Schedule/Shift


Job ID


Req. No


Job Title

Coord Referrals


CHRISTUS Physician Group/Ambulatory




Not Defined






CPG Spohn Fam Med Academic Ctr-476AL


2606 Hospital Blvd
Corpus Christi, TX  78405


Full Time

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Arranges referral appointments for specialists utilizing managed care guidelines and practices. Maintains working knowledge of, and adheres to compliance with, Medicare, Medicaid, and managed care regulations.

  • Arranges referrals as indicated by the provider, utilizing proper insurance referral guidelines and CPT, ICD9 and HCPCS coding. May be required to send necessary lab and ancillary reports.
  • Verifies insurance information, current PCP, and medical necessity for the referral. Obtains authorization for release of medical records.
  • Obtains insurance pre-certification and authorization as required by the various insurance plans. Notifies the ordering provider of any conflict or delay in scheduling.
  • May schedule testing, make necessary appointments, document in the patient's chart and notify the patient of the appointment and necessary special instructions.
  • Pulls and retrieves files as required. Routes charts back to dictation area or file as indicated.
  • Answers telephones, routes messages and redirects as necessary.
  • Maintains referral log and verifies that patient completed appointment; verifies receipt of specialists consult notes and/or follows up with specialist if needed.
  • Follows the CHRISTUS Physician Group guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
  • Maintains strict confidentiality.
  • Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
  • Maintains established CHRISTUS Physician Group policies, procedures, objectives, quality assurance, safety, environmental and infection control.
  • Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Physician Group's cultural diversity objectives.
  • Supports and adheres to CPG Service Guarantee.
  • Performs other related work as required.
    • High school graduate or GED.
    • Knowledge of medical terminology and CPT, ICD9 and HCPCS coding necessary.
    • Word processing and computer experience desirable.
    • Ability to use various office equipment such as copiers, fax machines, and credit card machines.
    • Excellent interpersonal skills and ability to communicate well.
    • Must be organized with ability to perform multiple tasks in a busy environment.
    • Knowledge of managed care contracts preferred.
    • Prefer one-year work experience in a medical office setting
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