Referral Coordinator - CMA, LPN preferred at Summit Family Medicine Greeneville

Summit Family Medicine Greeneville is seeking a Referral Coordinator. Certified Medical Assistant (CMA) or Licensed Practical Nurse (LPN) preferred.

About the role

This full-time position ensures referrals reach specialists' offices before patient appointments and handles patient checkouts.

Responsibilities

• Receives and returns phone calls to patients, other physicians’ offices, insurance companies, and other offices as appropriate.
• Completes all referral forms correctly and timely; faxes or mails forms to other physicians’ offices, insurance companies, and other appropriate recipients.
• Schedules patients’ appointments as needed.
• Obtains prior telephonic approvals for out-of-network specialists and telephonic pre-certification for specialists when required.
• Contacts other physicians and outpatient facilities to schedule examinations or procedures.
• Utilizes Athena software, including chart viewer, to ensure proper documentation in patient charts.
• Maintains daily logs of contacts and job completions.
• Advises patients on PCP protocols regarding the referral process, insurance requirements, and patient responsibilities.
• Stays updated on insurance companies’ policies and procedures.
• Assists with front office functions such as scanning, answering phones, check-in, and check-out.
• Performs duties professionally while exhibiting a courteous and cooperative demeanor to patients, co-workers, management, and the public.
• Adheres to established policies and procedures, including OSHA guidelines and the corporate compliance plan.
• Actively participates in site-level Quality Improvement Activities, contributing to performance evaluation and implementation of improvement measures.
• Performs other duties as assigned by physicians, Site Manager, or corporate Administration.

Requirements

• High School Diploma or GED required.
• One year of experience in a medical billing setting preferred.