Referral Coordinator

Overview

This position is responsible for processing referral requests for all providers practicing within the clinic module and ensuring that when needed, referral/authorization numbers are obtained for these services.

• Attend Referral training class and various referral system training classes within 1st month of employment.
• Attend and actively listen and participate in the regularly scheduled Referral Coordinator meeting.
• Remain current on referral policies and procedures, payer requirements and Managed Care Matrix utilizing the various online resources.
• Process referrals for services requested by Providers within established guidelines.
• Obtain authorizations for referrals and schedule appointments as appropriate and within required time frames. Coordinate appointment date, time and location with patients.
• Process requests for additional referrals/authorizations when requested by providers.
• Assure referrals are maintained within appropriate network or payer requirement.
• Communicate with all stakeholders, staff, providers, payers and patients as appropriate and per procedure.
• Document required information into the appropriate systems.
• Provide a standard of excellence as it relates to customer service for patients, staff members, and other customers.

• Experience Requirements: 2 years in Diagnosis and Procedural coding (preferred).
• 2 years of Experience in the field or related area (required).
• 2 years of Customer service experience (required).
• 2 years of experience with third-party payers (insurance carriers) using commonly used concepts, practices and procedures in the field (required).

• Computer experience.

• High School Diploma or GED equivalent (required).
• Certificate Medical Terminology (preferred).

Up to 10%.

Compensation ranges from $17.00-$19.00 per hour on days schedule, with salaries approximately $38,000-$45,800 per year for full-time positions.

Entry level.

Full-time.

Health Care Provider.

Hospitals and Health Care.

UFJPI is an Equal Opportunity Employer and Drugfree Workplace.