Outgoing Referrals presso Southeastern Gastroenterology Associates

Description

Southeastern Cardiology Associates, Southeastern Gastroenterology Associates, and SBD Medical Solutions strive to deliver the best care possible through a team approach. From check-in to check-out, each employee participates in delivering the highest quality of care and attention in the Southeast. Our commitment to our patient is that we will treat them like family. 

We are compassionate and considerate. We are passionate about advancements in technology and patient care. We are educators and good listeners. We believe that qualified specialty care is not hard to find. However, we think that embedding a world-class group of specialists within a team that is committed to treating the patient and their loved ones is what truly sets us apart. Our job is not done when the condition is diagnosed and treated appropriately. We consider the mission accomplished when we have treated the problem and our team has communicated effectively with the patient and their loved ones. Above all, we are here to serve our patients and their families. Our team of specialized physicians, mid-levels, nurses, technicians, and staff are committed to providing the highest level of service – this team approach truly sets us apart. 

Responsibilities 

• Effectively utilizes clinical knowledge when determining if the appointment is consistent with the diagnosis/indications indicated by the provider 
• Provides accurate, detailed information to patients regarding test preparations, time of patients’ scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients 
• Prioritize incoming authorization requests according to the urgency of patients 
• Confirms patient’s insurance provider and obtains prior authorization via payer website or by phone and follows up regularly on pending cases 
• Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations dating patient information/keeping records 
• Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order 
• Assists other members of the department as needed 
• Exhibit an ability to adapt to unpredictable situations within the work setting and has the ability to be flexible 
• Demonstrate excellent communication skills (verbal and written) as well as computer/electronic medical record systems skills 
• Completes Jelly Beans in eCW 
• Schedules/Responsible for outside referrals to other practices  
• Schedules CT, MRI & other testing at outside facilities  
• Other duties as assigned 

Requirements

 Education and Qualifications 

• High school diploma or GED, required 
• Insurance billing and/or coding experience preferred 
• Experience with eclinical works preferred 

Corporate Culture Expectations
Demonstrates the office Corporate Culture at all times with colleagues, providers, outside offices/vendors, patients, and patient’s family members. Consistently portrays a positive attitude; excels in individual role while creating a culture of teamwork and cooperation; puts the patient/family first and regularly seek opportunities for self-improvement as well as operational improvement.  

Core Competencies  
Approachability, Compassion, Customer Focus, Dealing with Ambiguity, Decision Quality, Ethics & Values, Integrity & Trust, Motivating Others, Peer Relationships, Drive for Results, Listening  

Functional Competencies  
Composure, Listening, Organizing, Patience, Problem Solving, Technical Learning, Time Management, Understanding Others