Referral/Pre-Certification Coordinator (8a-5p) - Abingdon, VA

Referral/Pre-Certification Coordinator (8a-5p) - Abingdon, VA - 35707

Ballad Health Medical Associates | Clerical Support | Full Time

Description

Job Description: Summary: The Referral/Pre-Certification Coordinator verifies and updates patient registration information in Epic. Obtains benefit verification and necessary authorizations (referrals, precertification) prior to patient arrival for all ambulatory visits, procedures, injections, and radiology services. Act as liaison between health plan and physician and/or clinic staff regarding patient complaints and patient non-compliance. Effectively communicate, collaborate, and interact with patients/plan members, multiple levels of internal personnel and external customers. Use complete knowledge of various insurances and stays current on constantly changing requirements, contracted plans, and any other pertinent information pertaining to referrals. Utilize online, web-based verification systems and reviews...