Referral Coord Team Lead | Surgery Hybrid

Overview Job Duties

Under the direction of the appropriate Manager, supervises and coordinates day to day referral activities, operations and personal issues of the assigned referral staff. Acts as a liaison with staff, departments/clinics and patients.

Essential Functions

• Provides oversight of the daily referral operation for the department including participating in hiring, staffing, training, coaching and providing feedback.
• Assists with personnel and payroll functions, and provides daily support with Kronos to ensure time is effectively managed.
• Works closely with the Manager in effective scheduling of staff and workflow to provide optimum coverage with available resources to meet department goals relating to production and quality.
• Ensures appropriate budgetary standards are implemented and maintained for labor and supplies.
• Supports the work of the manager by answering inquiries, providing information and resolving complaints from patients or other internal or external departments as it relates to referrals.
• Reviews referrals and authorization requirements to assure compliance with health plans.
• Monitors managed care referral process to ensure accurate and consistent process/results. Reviews pending referrals daily to ensure timely completion. Responsible for proficiently tracking and recording reports in the referral system.
• Supports the objectives and goals of the referral team by functioning as a referral coordinator.
• Provides a standard of excellence as it relates to customer services for patients, staff and other customers. Participates as an active care team member in the coordination of patient care.
• Ensures compliance of regulatory and organizational policies and procedures and recommends changes in department policies and procedures as identified.
• All other duties as assigned.

Experience Requirements

• 2 years Experience working as a Referral Coordinator in an Ambulatory Clinics required
• 2 years Thorough knowledge of insurance - HMO's, Medicare, Medicaid, PPO, POS and all other third party payors required
• 2 years Thorough knowledge and understanding of HIPAA, Medically Necessity Software, Scheduling/Registration systems and insurance web portals required

Education Requirements

• High School Diploma or GED required

UFJPI is an Equal Opportunity Employer and Drug Free Workplace