FPG, Referral Coordinator: FT, Days

Default Brand; North Carolina; On-site; USD 42,000 - 64,000; Full time

Job summary

Firelands Health in Sandusky, Ohio is seeking an administrative professional to coordinate referrals from start to finish for FPG providers, obtain necessary prior authorizations, and ensure continuity of care across practice sites.

You will train new staff, monitor insurance verifications, and manage process accuracy, while supporting special projects related to referrals and authorization workflows in a not-for-profit healthcare setting.

Qualifications

• Develop and maintain effective relationships with staff, patients and families.
• Communicate clearly in writing and verbally with stakeholders.
• Prepare and present reports to management as requested.

Responsibilities

• Coordinate referrals for FPG providers from start to finish and obtain necessary prior authorizations.
• Monitor accuracy of patient information and ensure timely processing of referrals.
• Train new employees on referral processes and insurance websites; support special projects.

Skills

Interpersonal communication

Critical thinking

Time management

Organization

Education

High School graduate

Associates degree preferred

Job description

• Lifestyle: Sandusky was voted “Best Coastal Small Town in America”. You will have the opportunity to enjoy living and working in this growing area along the beautiful shores of Lake Erie.
• Work/life: You will find support to help you manage your personal life while building a career.
• Employee-centric: Tuition reimbursement, loan forgiveness, comprehensive major medical, dental and vision insurance, paid time off, 401(k), health and wellness offerings, monthly employee events, and more.

About Firelands Health

Our goal at Firelands Health is to be the best & preferred independent healthcare employer for the Sandusky Bay region.

Firelands Health is the area’s largest and most comprehensive resource for quality medical care. We are “big enough to care for you, and small enough to care about you”. We are locally managed and governed as a not-for-profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents. Our mission is to provide excellent healthcare, promote community wellness, and improve the lives we serve.

Our Core ACE Values: Attitude: We choose to be positive and inclusive every day. Commitment: We are committed to exceed the expectations of those we serve. Enthusiasm: We will work passionately to make a difference.

Position Summary

Responsible for performing a variety of duties including but not limited to: coordinating from start to finish internal and external referrals for FPG providers to ensure good continuity of care; obtaining any necessary prior authorizations for visits or procedures related to referrals; training new employees on relevant portions of the referral process and navigating necessary insurance web sites; monitoring for accuracy of patient information, and monitoring for completion of the process; implementing special projects related to the referral and prior authorization process; verifying insurance coverage; obtaining pre-certifications or prior authorizations as needed. Assigned to administrative office but may need to assist in working at other practice sites

What you will do

• Interpersonal: Development and maintenance of effective relationship with medical and administrative staff, patients and families, co-workers and the public. Ability to communicate effectively in writing and verbally with medical and administrative staff, patients and families, co-workers and insurance companies. Skill in preparation and presentation of reports to NCPC management as requested. Ability to remain calm and poised in urgent situations.
• Critical Thinking: Skill in exercising initiative, judgment, problem solving, and decision making. Skill in analysis and interpretation of data, and preparation of reports. Skill in time management and organization. Ability to prioritize and meet deadlines to avoid crises management.
• Knowledge: Organization policies, procedures, systems and objectives. Knowledgeable in medical office procedures and medical terminology with computer and cash handling experience. Governmental regulations and compliance requirements. Computer systems and applications.

What you will need

• High School graduate; vocational education or associates degree preferred; Clinical degree or medical ambulatory setting experience preferred.
• Eligibility: All employees must be able to provide proof of their identity and their right to work in the United States. As a condition of employment, employee will have pre-employment tuberculin test, symptom survey, or chest x-ray. Employees can elect to have the Hepatitis vaccine or sign a waiver to decline due to prior vaccination.
• Ability to work in a safe and efficient manner and maintain an accident free work place, including ability to demonstrate a working knowledge of emergency codes.
• Ability to comply with OSHA regulations and CDC standard and transmission based precaution recommendations and to utilize proper personal protective equipment. Ability to comply with provisions of applicable S.D.S. forms.
• Successful completion of a 90 day get-acquainted period.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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