Referral Coordinator | Surgery Business Services | Days

UF Health Flagler Hospital

  • Jacksonville, FL
  • Permanent
  • Full-time
  • 18 hours ago
Job Description:OverviewThis 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.
ResponsibilitiesAttends Referral training class and various referral systemtraining classes within 1st month of employment. Attends andactively listens and participates in the regularly scheduledReferral Coordinator meeting. Remains current on referralpolicies and procedures, payer requirements and ManagedCare Matrix utilizing the various on-line resources.Processes referrals for services requested by Providers withinestablished guidelines.Obtains authorizations for referrals and schedulesappointments as appropriate and within required timeframes.Coordinates appointment date, time and location withpatients.Processes requests for additional referrals/authorizationswhen requested by providers.Assures referrals are maintained within appropriate networkor payer requirement.Communicates with all stakeholders, staff, providers, payersand patients as appropriate and per procedure.Documents required information into the appropriate systems.Provides a standard of excellence as it relates to customerservice for patients, staff members, and other customers.
QualificationsExperience 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 Medical Terminology - preferredUFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE

UF Health Flagler Hospital