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Referral Coordinator - CMA, LPN preferred at Greenville Family Medicine

Summit Medical Group
  • Greeneville, TN
    5 days ago

    Job Description

    Summit Medical Group at Greenville Family Medicine is seeking a Referral Coordinator- CMA or LPN preferred. The referral coordinator is responsible for the arrival of referrals to specialist's offices prior to patient scheduled appointment as well as handling patient check outs. This is a Full time opportunity.

    Examples of Duties (List does not include all duties assigned)

    • Receives and returns phone calls to patients, other physicians' offices, insurance

    companies and other offices as appropriate.

    • Completes all referral forms correctly and timely and faxes / mails forms to other

    physicians' offices, insurance companies and other appropriate recipients.

    • Schedules patients' appointments as needed.
    • Responsible for prior telephonic approvals when needed for out-of-network

    specialists and for telephonic pre-certification when needed for specialists.

    • Contacts other physicians and outpatient facilities to make appointments for other

    examinations or procedures.

    • Utilizes Athena appropriately to include chart viewer which ensures proper

    documentation in patient's charts.

    • Maintains daily logs of contacts and job completions.
    • Advises patients of PCP protocol regarding referral process, insurance companies,

    patients' responsibilities, etc. Keeps updated regarding insurance companies'

    policies and procedures.

    • Assists with other front office functions as requested, such as scanning, answering

    phones, check-in, etc.

    • Performs duties in a professional manner while exhibiting a courteous and

    cooperative demeanor to patients, co-workers, management, and the public.

    • Adheres to established policies and procedures (including OSHA guidelines.)
    • Adheres to all appropriate aspects of the corporate compliance plan.
    • Actively participates in site-level Quality Improvement Activities. Each employee will

    contribute to the continual evaluation site performance as well as the

    implementation and measurement of improvement activities that increase the

    quality of care provided to patients.

    • Performs other duties as assigned by physicians, Site Manager, or corporate

    Administration.

    Education

    High School Diploma or GED required.

    Experience

    Prefer one-year experience in a medical billing setting.

    Numbers & Facts

    LocationGreeneville, TN
    IndustryHealthcare Services
    Company Size1,500 to 1,999 employees
    Year Founded1995

    About Company

    Our physicians make it their goal to be the best; they constantly strive to improve their ability to better serve their patients and be more successful in the practice of medicine.

    Summit’s singular commitment to quality has led its office-based physicians to rank top ten in the nation of all three categories of National Committee for Quality Assurance (NCQA) recognition: Patient Centered Medical Home, Diabetes Recognition Program, & Heart/Stroke Recognition Program.

    • 5.58 million Central Lab Tests run annually
    • 1.5 million E-Prescriptions annually
    • 1,102,729 Patient Encounters in 2014
    • 274,296 Primary Care Patients
    • 1,387+ Employees
    • 218+ Physicians
    • 140 NCQA Recognized Physicians
    • 62+ Statcare Hospitalists/Pulmonologists
    • 141 Advanced Practitioners
    • 54 Practice locations
    • 12 East Tennessee counties
    • 1 Sleep Services Center
    • 4 Diagnostic & Imaging Centers
    • 8 Physical Therapy Centers
    • 3 Express Clinics
    • 1 Singular commitment to quality

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