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 the first 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 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.
• Ensure referrals are maintained within appropriate network or payer requirements.
• 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 in customer service for patients, staff members, and other customers.

• Experience Requirements: 2 years in Diagnosis and Procedural coding – preferred
• 2 years in the field or a related area – required
• 2 years in Customer Service – required
• 2 years in third‑party payers (insurance carriers) using common concepts, practices and procedures – required
• Preferred Experience: Computer experience – preferred
• Education: High School Diploma or GED equivalent – required
• Certificate in Medical Terminology – preferred
• Travel:
  Up to 10%

Entry level

Full‑time

Health Care Provider

Industry: Hospitals and Health Care

UFJPI is an Equal Opportunity Employer and Drugfree Workplace