Referral Coordinator - Jewett Orthopedic Institute, Melbourne

Position Summary

One of the region’s largest orthopedic and sports medicine providers, Orlando Health Jewett Orthopedic Institute’s world-class team of orthopedic surgeons and sports medicine physicians specialize in conditions and injuries of the spine, hand, upper extremities, foot, ankle and lower extremities, as well as joint replacement, concussions, interventional pain management, bone health and orthopedic trauma. The institute’s Downtown Complex brings the whole spectrum of orthopedic and spine care under one roof and includes an orthopedic specialty hospital featuring 75 private inpatient rooms, 10 advanced OR suites, and a research and innovation center with a bio skills lab and 3D printer.

Institute physicians also lead a robust clinical research and education program. An adjacent medical pavilion houses a 63-exam-room outpatient clinic, imaging suite, physical therapy spaces and ambulatory surgery center. The institute also holds official medical roles with multiple athletic teams, sporting events and venues. In its first year of eligibility, the institute has been recognized for its positive workplace culture with Modern Healthcare’s Best Places to Work award.

The Referral Coordinator supports Clinical teams, Patients and Family Members by managing referrals and/or authorizations for the Medical Group. They are responsible for processing Internal and External referrals and authorizations from orders prescribed, by the provider, in the Electronic Health Record (EHR) system within the Outpatient Ambulatory setting.

• Completes entry of referrals and/or authorizations into EHR.
• Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital diagnostics.
• Coordinatesfollow-up care with the referral asthe referral expires.
• Ensures financial information and insurance is current and active.
• Ensures Primary Care provider is accurate based on payer guidelines.
• Updates patient insurance information in EHR systems as needed.
• Transcribes faxed referral requests viaOn-Base fax system into EHR.
• Initiates the referral and authorization process for visits and services.
• Works closely with clinical teamsto facilitate optimal patient care.
• Coordinates with scheduling departments, and other departments as needed to facilitate patient’s visit.
• Coordinates with Patients when necessary to complete referral.
• Provides patient with referral information for physicians and facilities.
• Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. to obtain the required authorization needed for each visit or service.
• Maintains current knowledge of referral and authorization requirements based on payer specific guidelines.
• Maintain working knowledge of ICD-10 and CPT codes.

• High School graduate

• Two (2) years of directly related work experience preferred.
• Experience in processing physician office and/or hospital referrals Proficient in Computer usage.