Referrals & Precepts Specialist - MPV New Jersey MD Services, P.C

The Referral and Precertification Specialist (RPS) will report to the Medical Receptionist Supervisor (MRS) and/or the Practice Administrator. Under the direction of the Practice Administrator and/or Medical Receptionist Supervisor (MRS), the Referral and Precertification Specialist (RPS) will provide superior level of secretarial duties and reception services to the doctor, patients, and staff.

· Performs administrative tasks to make recommendations to people in need of services, as well as relaying important information to companies and organizations.

· Schedules patients for ancillary tests and appointments with outside providers.

· Completes referral arrangements utilizing appropriate forms and maintains appropriate logs or paperwork for tracking referrals outside the clinic.

· Explains test or appointment preparation to patients for outside appointments.

· Obtains insurance pre-authorizations or referral confirmation as needed.

· Communicates with front desk staff and supervisor regarding patient flow and services.

· Establishes professional relationships with outside providers, labs and medical facilities where patients are referred.

· Promptly investigate all outpatient denials pertaining to diagnosis and procedure coding.

· Updates all patient files and make sure documents are accurate, confidential, and compliant.

· Greets, check in and checkout patients, and advises other medical staff of arrival of patient's.

· Answer inbound calls to the practice, as well as greet vendors and set vendor appointments. Will convey messages in writing, electronically, and verbally.

· Will maintain Physicians calendars, prepares doctors notes, return to work, school, or leave notices and all other correspondence as directed.

· Scanning, filing, and faxing documents, as well as, prepare and sort mail.

· Ensure the waiting and reception areas are kept orderly and clean, and will report on any damages of furniture, supplies, or equipment.

· Act as a liaison with patients, referrals, general practitioners, health care professionals, and patient's family member in a compassionate and kind manner.

· Other office responsibilities, assigned by supervisor or Physician, as deemed necessary.

PI256299002