Referral Coordinator/Prior Authorization Specialist - Ft Worth - Radiology Associates of North Texas

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.