Healthcare Referral Coordinator - Patient Access & Insurance

Penn Medicine, University of Pennsylvania Health System; Lancaster (Lancaster County); On-site; USD 35,000 - 48,000; Full time

Job summary

Penn Medicine in Lancaster, PA is seeking a coordinator to plan, organize, and direct all aspects of the referral office. You will ensure timely referral insurance deadlines, maintain referral logs, and serve as the main contact for insurance and referrals for patients and providers.

The role involves collaboration with LG staff and physician offices to resolve referral issues and ensure compliant documentation across managed care processes.

Qualifications

• High school diploma or certificate.
• One year of computer experience.
• One year clerical or clinical experience in a medical practice setting.
• One year experience in medical referral insurance.
• One year of using medical terminology.

Responsibilities

• Plans, organizes, directs and coordinates all aspects of the referral office.
• Coordinates and monitors daily work flow processes and activities for meeting required referral insurance deadlines within 72 hours or as directed by provider.
• Daily reviews and monitors referral work queue to provide accurate and timely referral process documentation.
• Serves as the first-line resource for all customers internal external with regards to Insurance and Referrals.
• Maintain accurate and current referral log on all patients.
• Serve as liaison for patient with doctor offices with regards to processing referrals.
• Review and analyze managed care patient visits and ensure proper documentation of required services.
• Coordinate internal functions and recordkeeping related to managed care organizations to meet compliance.
• Organizes in-service programs for staff regarding all referral insurance process changes and updates.
• Liaison between patient and insurance company to explain to patient what their insurance company requires to meet referral authorization compliance.

Education

High school diploma or certificate

Job description

Penn Medicine in Lancaster, PA is seeking a coordinator to plan, organize, and direct all aspects of the referral office. You will ensure timely referral insurance deadlines, maintain referral logs, and serve as the main contact for insurance and referrals for patients and providers.

The role involves collaboration with LG staff and physician offices to resolve referral issues and ensure compliant documentation across managed care processes.