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Req. No

193234

Job Title

Coordinator Referrals - Thomas Spann Primary Care

Market

CHRISTUS Trinity Clinic

Category

Revenue Cycle

Facility

CTC Thomas Spann Primary Care 5802 Saratoga Boulevard

Address

5802 Saratoga Boulevard
Corpus Christi, TX  78414
USView On A Map View Other Locations

Type

FULL TIME

Coordinator Referrals - Thomas Spann Primary Care Job in Corpus Christi

Job Description

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

Work Type:

Full Time


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Coordinator Referrals - Thomas Spann Primary Care