Referral Coordinator/Prior Authorization Specialist - Ft Worth

Radiology Associates of North Texas

Referral Coordinator/Prior Authorization Specialist - Ft Worth

Fort Worth, TX
Full Time
Paid
  • Responsibilities

    Summary: Responsible for scheduling IR procedures, and support the physicians, nurses, and patients of the IR department.

    Essential Functions:

    • Schedule patients for IR procedures
    • ****Contact patients, Doctor's office, insurance company, Third Party Administrator demographics, in order to have complete, accurate, compliant patient records.
    • Ensure a written order is received with specific information.
    • Verify insurance coverage, as well as obtain a pre-cert number for the procedure.
    • Obtain updated patient health history, demographics, known allergies, medications, and conditions.
    • Confirm the appointment one day prior to procedure to keep the schedule running smoothly.
    • Act as liaison between referring doctor's office and patient by handling all questions or concerns prior to the procedure to maximize the physicians' time to be maximized for procedures.
    • Handle all necessary paperwork for same day add-ons.
    • Ensure that areas/resources of hospital are available at time of service, without conflicts.
    • Coordinate with referring physician's office or patient to ensure they are instructed to stop appropriate medications and ensure clearance is obtained.
    • Ensure patient has received specific prep instructions, along with time of procedure, what to expect the day of the procedure, and where to check in.
    • Obtain for prior imaging, from outside facilities, to be available prior to scheduling the procedure.
    • Arrange admission to the hospital and enter information into the hospital information system as needed.
    • Reschedule or follow-up with patients as directed.
    • Obtain procedural reports and update the patient's medical record.
    • Request films and charts from Medical Records as directed.
    • Send lab reports to referring physician.
    • Comply with hospital regulations regarding patients and scheduling.
    • Communicate with physicians and nurses to keep updated of necessary changes.
    • Interpret plan provider requirements for pre-certification procedures.
    • Regular and timely attendance required.
    • Serve as resource person to the Business Office for help with coding questions
    • Assist with maintaining the charge coding sheet.
    • Monitor storage of medical records related to this area of the practice
    • Provide high level of customer service to patients, physicians/PA's/NP's/nurses, referring physicians' offices, hospital staff, RANT co-workers and all external service providers.
    • Define problems, collect data, establish facts, draw valid conclusions
    • Ability to resolve scheduling conflicts, and patient's concerns
    • Support group, department and company goals
    • Make recommendations and implements processes to improve work flow.
    • Attend and actively participate in meetings as needed.
    • Ensure efficiency and accuracy of data.
    • Maintain excellent communication between physicians and nurses.
    • Support department and company goals
    • Make recommendation and/or suggestions to improve procedures.
    • Assist department as needed on special projects.
    • Ensure equipment is in good working order.

    Qualifications:

    Education : High school graduate or GED; CPT and ICD-10 certification preferred.

    Experience : One to three years related medical office or clinical assistant experience in a high volume environment, or equivalent combination of education and medical office experience.

    Skills/Knowledge: Mathematical skills, good verbal and written communication skills. Must be detail oriented, and able to work in a fast-paced environment. Able to manage multiple priorities and personalities. Function as a team player.