Referral Coordinator - Pediatric Weight and Wellness

adventhealth; United States; On-site; USD 24,000 - 38,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Life insurance

4 weeks paid parental leave

403(b) retirement plan

Paid Time Off from Day One

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth in Winter Park, FL is seeking an adaptable Patient Access/Call Center Associate to take messages, answer non-clinical questions for patients and families, and route calls. You will coordinate referrals and admissions with insurance companies, and document all details accurately.

Requires High School diploma, 1+ year ICD-9/CPT-4 coding experience (preferred), strong computer and typing skills, and excellent customer service.

Qualifications

• High School Grad or Equiv [Required]
• 1+ year of icd-9 and cpt-4 coding experience [Preferred]
• Experience with computers [Required]

Responsibilities

• Take accurate and legible messages with date, time and initials.
• Answer non-clinical questions for patients and family members and route calls correctly.
• Coordinate referrals, hospital admissions and insurance authorizations; document in patient charts.

Skills

Customer service

Communication

Typing 50 wpm

Teamwork

Priority & time management

Multitasking

Insurance understanding

Medical terminology

Fluent English

Education

High School Diploma or equivalent

Tools

Telephone system

Microsoft Office

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

• Full time
• Shift: Day (United States of America)
• Address: 1801 Lee Rd
• City: Winter Park
• State: Florida
• Postal Code: 32789

Job Description:

Takes accurate and legible messages, including time, date, and initials. Answers non-clinical questions for patients and family members and routes all other calls correctly. Uses the telephone system appropriately according to guidelines. Obtains physician approval for referrals and hospital admissions. Serves as a liaison between the insurance company, the patient, and the physician. Completes all referrals in a timely manner and documents referral numbers in patient charts. Schedules hospital admissions, outpatient procedures/tests, and notifies patients of appointments and referral numbers the same day they are obtained. Contacts insurance companies for referral numbers or pre-certification/authorization. Obtains and forwards medical records from specialists or hospitals to process referrals or hospital authorizations and follows up with insurance companies regarding the status of authorizations. Completes special projects. Other duties as assigned. Faxes referrals to specialists and directs patients to appropriate specialists and vendors according to their insurance.

Knowledge, Skills, and Abilities:

• Knowledge of business office procedures.
• Knowledge of English grammar, spelling, and punctuation to type patient information.
• Skill in operating a computer, photocopy machine, and proficiency with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint).
• Skill in greeting patients and answering the telephone in a professional, pleasant, and helpful manner.
• Ability to speak clearly and concisely.
• Ability to read, understand, and follow oral and written instruction.
• Ability to type 50 words per minute accurately.
• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Demonstrates ability to communicate by reading, writing legibly, speaking, and comprehending English effectively in order to carry out job requirements.
• Possesses a strong knowledge, understanding, and competency in the areas of insurance carrier plans and coverage benefits, procedures, CPT codes, HCPCS, and ICD-10 codes.
• Professional, oral, and written communication skills.
• Problem-solving and critical thinking skills.
• Ability to work in a team setting, as well as independently.
• Ability to work well under pressure with deadlines - sense of urgency.
• Ability to prioritize and manage simultaneous assignments with frequent interruptions while paying close attention to details.
• Must be willing to float to other practices, within reason, when patient load, vacation schedules, etc., make it necessary.
• Strong customer service background.
• Understanding of co-insurance, co-pays, and deductibles, and the ability to explain.
• Medical terminology and office background preferred.
• Additional languages preferred.

Education:

High School Grad or Equiv [Required]

Field of Study:

None Required

Work Experience:

• 1+ of icd-9 and cpt-4 coding experience [Preferred]
• Experience with computers [Required]

Additional Information:

None Required

Licenses and Certifications:

None Required

Physical Requirements:

Physical Requirements: (Please click the link below to view work requirements)

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$17.28 - $27.65

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law.

Applicants may review general information about Florida's background screening requirements at the Florida Care Provider Background Screening Clearinghouse : https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.