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Job Objective: A brief overview of the position.
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This position is responsible for the coordination and scheduling of referrals of all medical programs at Renker Wellnes Center (RWC) including cardiac rehab, heart failure, and pulmonary rehab.
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Reports to
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Director, Renker Wellness Center
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Supervises
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None
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Ages of Patients
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Adult
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Blood Borne Pathogens
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Minimal/ No Potential
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Qualifications
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Education
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Preferred: Some college preferred
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Licensure/Certification
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N/A
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Experience
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Required: 1 year recent experience in a clinic/ambulatory care setting, preferably with insurance authorization experience
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Preferred: Experience with electronic scheduling and insurance authorization
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Essential Responsibilities
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Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
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Coordinates and facilitates all incoming referrals to RWC medical programs. In addition, works with clinicians for transfer referrals in/out of RWC programs.
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In collaboration with the clinical team, schedules and maintains the calendar for all medical programs at RWC.
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Obtains pertinent patient demographic and insurance information prior to scheduled appointments. Works closely with pre-registration to identify and solve any issues. Provides enrollees accurate, timely information related to out of pocket costs/coverage.
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Contacts participants that have failed appointments to re-schedule. Communicates any concerns to clinical team and/or leadership.
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Obtains all necessary pre-authorization in a timely manner, including working with physician office staff.
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Follows up on phone messages and call backs in timely manner.
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Understands the purpose and documentation of payable diagnosis and ICD coding with ability to communicate effectively to RWC clinical team and as appropriate, physicians.
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Escalates to clinical team and/or director when extraordinary issues arise.
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Requests medical record data from referring offices and organizations as needed for enrollment in RWC programs.
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Demonstrates adaptability to a changing, fast paced environment with team spirit.
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Manages special projects as directed
- Performs other duties as assigned.
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Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.