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Work Schedule/Shift

5 DAYS - 8 HOURS

Req. No

17643

Job Title

Coordinator Referrals-Specialty Bariatric

Market

CHRISTUS Santa Rosa

Category

Revenue Cycle

Facility

CHRISTUS SR WH Clinics 11130 CHRISTUS Hills MOB III PBC

Address

11130 CHRISTUS Hills Medical Plaza
San Antonio, TX  78251
USView Other Locations

Type

FULL TIME

Apply Now Coordinator Referrals-Specialty Bariatric Job in San Antonio

Summary:

This position is responsible for coordinating the entire referral process (obtaining order from physician, obtaining insurance authorization from the insurance company/payor, scheduling the appointment for the patient with a physician who accept the particular insurance, notifying the patient of the appointment, completing renewal authorizations with physicians office and payor) for a 35 physician practice. Researches problem referral claims or requests for payment and corrects. Ensures physicians coding and Dx are appropriate for proper referral and coverage by insurance company. This position is also responsible for knowing various insurance plans and coverages for the patient to ensure proper payment. Responsible to teach nursing associates and physicians all changes within insurance plans for referral and authorization process. Must be up to date with all CPT and ICD-9 coding to process proper referral. Must have clinical background knowledge to appropriately support referral when communicating with insurance companies. 

Requirements:

High School Diploma or equivalent is required.
Minimum 3 years office experience in a healthcare setting required.
Expert knowledge of managed care benefit plans with at least 1 year specializing in a referral-based clinic or physician’s office.
Medical assistant certification from an approved technical school preferred. 

Work Type: 

Full Time


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