Referral Coordinator I - Orthopedics

Orlando Health; Orlando (FL); On-site; USD 38,000 - 46,000; Full time

Benefits offered by this job

Tuition reimbursement

Public Service Loan Forgiveness (PSLF)

Health insurance

Dental/ Vision insurance

Paid parental leave

Flexible leave options

PTO

Job summary

Orlando Health Jewett Orthopedic Institute in Brandon, FL is seeking a Referral Coordinator I to support clinical teams by managing referrals and authorizations for the Medical Group in outpatient ambulatory settings.

The role includes entering referrals in the EHR, coordinating with scheduling and payer requirements, and ensuring accurate insurance information while providing excellent patient service.

Qualifications

• High school diploma or equivalent with knowledge of medical terminology.
• Two years of related work experience preferred.
• Proficiency in computer systems and handling referrals.

Responsibilities

• Completes entry of referrals and/or authorizations into EHR.
• Registers new patients and obtains insurance authorization for services.
• Coordinates follow-up care with referrals as they expire.
• Ensures current and active insurance information in systems.
• Keeps Primary Care provider updated per payer guidelines.
• Updates patient insurance information in EHR.

Skills

Two years related experience

Customer service

Computer proficiency

Education

High School Graduate

Medical Terminology

Job description

Orlando Health Jewett Orthopedic Institute

West Region

Position SummaryOrlando Health Jewett Orthopedic InstituteWest RegionJob Title: Referral Coordinator IVariable Full Time: Monday - Friday 8:00 AM to 5:00 PMDepartment: OrthopedicsLocation: Brandon, FLJob Summary: 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.

Why is Orlando Health your best place to work?

• Education & Career Growth - Tuition reimbursement, Public Service Loan Forgiveness (PSLF), and leadership development programs.
• Health & Wellness - Comprehensive medical, dental, vision, free virtual visits, and well-being programs.
• Financial & Retirement - Up to 5% employer match on retirement contributions.
• Work-Life Balance - Four weeks of paid parental leave, PTO, and flexible leave options.
• Family & Pet Support - Fertility benefits, adoption assistance, backup care for children/elders/pets, and pet insurance.

Responsibilities

Essential Functions

• Completes entry of referrals and/or authorizations into EHR.
• Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital diagnostics.
• Coordinates follow-up care with the referral as the 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 via On-Base fax system into EHR.
• Initiates the referral and authorization process for visits and services.
• Works closely with clinical teams to 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.
• Demonstrates a basic knowledge of third-party reimbursement requirements and regulations.
• Exhibits competency in the use of registration systems, electronic verification tools and Web-based resources.
• Understands the importance Orlando Health places on providing exemplary customer service.
• Performs job in a manner that helps meet customer service goals.
• Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times.
• Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental needs.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedure.

Other Related Functions

• Attends and participates in department staff meetings and other meetings as assigned.
• Responsible for maintaining performance measures as outlined by the department’s productivity guidelines.

Qualifications

Education/Training

High School Graduate

Medical Terminology

Licensure/Certification

None

Experience

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