Referral Coordinator Practice Based

adventhealth

Sussex (WI)

On-site

USD 22,744 - 36,396

Full time

14 days+

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Benefits offered by this job

Medical, Dental, Vision Insurance

Paid Time Off from Day One

403-B Retirement Plan

Parental Leave

Job summary

AdventHealth in Florida is seeking a patient services coordinator to manage non-clinical inquiries, route calls, and coordinate referrals and authorizations. This role supports patients, families, and providers in a busy office.

You will schedule admissions and tests, liaise with insurance and physicians, and manage referral documents with accuracy. Strong communication, MS Office proficiency, and the ability to work under pressure are essential.

Qualifications

High School Diploma or equivalent required.
1+ year of ICD-9 and CPT-4 coding experience preferred.
Experience with computers required.

Responsibilities

Takes accurate and legible messages with time, date, and initials.
Answers non-clinical questions for patients and family members; routes other calls.
Obtains physician approval for referrals and hospital admissions.
Serves as liaison between insurance, patient, and physician.
Schedules hospital admissions, outpatient procedures/tests, and notifies patients of appointments.
Contacts insurance for referral numbers or pre-certification/authorization.
Obtains and forwards medical records to process referrals. -Follows up on authorizations.
Completes special projects and faxes referrals.

Skills

Knowledge of business office processes

English grammar/spelling/punctuation

Computer proficiency

Greeting patients

Clear and concise communication

Reading/comprehending instructions

Typing 50 wpm

Interpersonal relationships

Insurance terminology & CPT/HCPCS/ICD-

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)

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:

6325 Us Highway 27 N

City:

Sebring

State:

Florida

Postal Code:

33870

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.