Referral Coordinator - Specialty Neurosurgery

Description CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary : This position is responsible for coordinating the referral / authorization of the clinic and assisting the Director in the operational performance of the Hospital Outpatient Department (HOPD). This includes but is not limited to : obtaining authorizations for all patient services, answering phones, making appointments, chart creation, and filing, assisting patients with payment arrangements and insurances related issues. Responsibilities : Obtains authorizations for clinic visits, clinic procedures, and minor surgeries. Calls to obtain patient’s diagnostic codes from other sites as needed. Handles payment transactions to include balancing at the end of the day. Enters referral / authorization information appropriately and completely as needed. Contacts patients to resolve appointments, authorizations and payment difficulties or arrange satisfactory payment plans. Aids patients to improve customer service. Coordinates resolution of problems with PCP offices and Imaging Facilities and ensures compliance with regulations and standards. Facilitates the flow of information between individuals, departments, physicians and leadership to progress toward organizational goals and achieve timely solutions to problems. Assists Management in ensuring the compliance of Joint Commission guidelines and National Patient Safety Goals. Serves as a liaison between patients, Associates, staff, and providers. Maintains effective and respectful communication with providers, patients, Associates, and staff. Works with staff and providers to ensure quality patient care and services are provided. Ensures patient safety at all times. Maintains strict confidentiality. Follows CHRISTUS and Federal guidelines related to HIPAA, designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission. Maintains established CHRISTUS policies, procedures, objectives, quality assurance, safety, and environmental and infection control protocols. Performs other job responsibilities as assigned in a manner consistent with the CHRISTUS Mission and Code of Ethics and is supportive of CHRISTUS’ cultural diversity objectives. Supports and adheres to the Service Guarantee and strives for ever-improved patient satisfaction. Requirements : Education / Skills High School diploma or GED required Must have experience in medical financial reimbursement, billing and collections Must have knowledge of CPT and ICD10 coding Must have ability to work independently and exercise good judgment Must have strong interpersonal and communication skills Must have prior experience working with PCs, scanning, faxes and multi-line phone systems Bilingual (Spanish / English) preferred Experience Two years of experience in a medical office, in a patient access position, performing medical billing / collections, or other comparable position in a medical setting required. Licenses, Registrations, or Certifications None Work Schedule : 5 Days - 8 Hours Work Type : Full Time