Referral Coordinator I - Orthopedics

careers-bayfronthealth; Provo (UT); On-site; USD 38,000 - 46,000; Full time

Benefits offered by this job

Tuition reimbursement

Public Service Loan Forgiveness (PSLF)

Health insurance

Four weeks of paid parental leave

Flexible leave options

Job summary

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

You will process internal and external referrals in the EHR, coordinate with providers and schedulers, and maintain accurate insurance information while ensuring timely authorizations.

Qualifications

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

Responsibilities

• Completes entry of referrals and/or authorizations into EHR.
• Registers and obtains insurance authorization for new patients and tests.
• Coordinates follow-up care as referrals expire.
• Ensures insurance information is current and active.
• Coordinates with scheduling and other departments to facilitate visits.
• Communicates with PCP, patient, and departments to obtain required authorizations.

Skills

Referral processing

EHR navigation

Customer service

Communication

Education

High School Graduate

Medical Terminology

Tools

EHR systems

On-Base fax system

Registration systems

Job description

Position Summary

Orlando Health Jewett Orthopedic Institute

West Region

Job Title: Referral Coordinator I

Variable Full Time: Monday - Friday 8:00 AM to 5:00 PM

Department: Orthopedics

Location: Brandon, FL

Job 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 to5% employer matchon 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 ofreferrals and/or authorizationsinto EHR.
• Completesregistration and obtainsinsurance authorization for new patients, diagnostic testing and for hospital diagnostics.
• Coordinatesfollow-up care with the referral asthe referral expires.
• Ensuresfinancial information and insurance is current and active.
• Ensures Primary Care provider is accurate based on payer guidelines.
• Updates patientinsurance information in EHR systems as needed.
• Transcribesfaxed referral requests viaOn-Base fax system into EHR.
• Initiatesthe referral and authorization processfor 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 ofreferral and authorization requirements based on payerspecific 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 ofregistration systems, electronic verification tools and Web-based resources.
• Understands the importance Orlando Health places on providing exemplary customer service.
• Performsjob in a manner that helpsmeet 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 participatesin departmentstaff meetings and other meetings as assigned.
• Responsible for maintaining performancemeasures as outlined by the department’s productivity guidelines.

Qualifications

Education/TrainingHigh SchoolGraduate Medical Terminology

Licensure/CertificationNone

Experience

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