Referral Program Coordinator - Ardent Health Services : Job Details

Ensures current and standardized referral policies and workflows are followed and utilized on a regular basis. Prioritizes referrals by their urgency and addresses them in a timely manner. Participates and successfully completes required orientation and training related to job responsibilities. Ensures complete demographic, insurance information, and appropriate/pertaining clinical information is sent to referred specialists. Contacts insurance companies to ensure prior approval requirements are met. Presents necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove the medical necessity of services. Reviews details and expectations about the referral with ordering providers and patients. Requests new referrals to be ordered when applicable. Identifies and utilizes community resources; establishes relationships with servicing providers and personnel. Serves as point of contact for patients and specialists for any questio...Program Coordinator, Coordinator, Program, Healthcare, Business Services, Insurance