Referral Coordinator

Referral Coordinator – Full Time Days

University of Florida Jacksonville Physicians, Inc.

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 classes and various referral system training classes within first month of employment.
• Attend and actively listen and participate in the regularly scheduled Referral Coordinator meetings.
• 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.
• 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 as it relates to customer service for patients, staff members, and other customers.

• Experience Requirements
  • 2 years – Diagnosis and Procedural coding – preferred
  • 2 years – Experience in the field or in a related area – required
  • 2 years – Customer service – required
  • 2 years – Third party payers (insurance carriers) using commonly used concepts, practices and procedures in the field – required
• Preferred Experience – Computer experience – preferred
• Education
  • High School Diploma or GED equivalent – required
  • Certificate in Medical Terminology – preferred

Up to 10%

Entry level

Full-time

Health Care Provider

Hospitals and Health Care

UFJPI is an Equal Opportunity Employer and Drugfree Workplace.