REFERRAL & PRECERT SPEC

Position Summary

Directs daily operation of scheduling for inpatient/outpatient procedures and services.
OBTAINS ANY NECESSARY REFERRALS OR PRE-CERTIFICATIONS.
Schedules inpatient/outpatient tests, procedures and appointments as directed by provider.
Determines accuracy of completed forms required for referrals and pre-certifications.
Maintains accurate testing, referral and appointment logs with follow-up verification in the referral tracking database.
Knowledge of ICD-9 and CPT coding and basic computer skills.

COORDINATES DATE, TIME AND LOCATION OF PROCEDURE/APPOINTMENT WITH THE PATIENT, FACILITY AND PROVIDER.
COMMUNICATES APPOINTMENTS AS WELL AS SPECIAL INSTRUCTIONS REGARDING SCHEDULED PROCEDURE/APPOINTMENT WITH THE PATIENT.
REPORTS ANY PROBLEMS OBTAINING REFERRALS, PRE-CERTIFICATIONS OR APPOINTMENTS AS ORDERED BY THE PROVIDER.

ATTENDS MEETINGS AS REQUIRED AND PARTICIPATES ON COMMITTEES AS DIRECTED.
COLLABORATES WITH THE PATIENT, PHYSICIAN AND OTHER CARE TEAM MEMBERS AS PART OF A TEAM BASED APPROACH TO OVERALL PATIENT CARE.

Minimum Education

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.

Minimum Experience

Previous Referral/pre-certification Experience Preferred.

Medical Terminology Knowledge

A Must.

Licensure Requirement

None.