Referral Coordinator, Primary Care Outer Loop, 8a-4:30p

UofL Health; Louisville (KY); On-site; USD 36,000 - 48,000; Full time

Job summary

UofL Health is seeking a Referral Coordinator to manage patient referrals, authorizations, and scheduling for specialty services and imaging. You will work closely with physicians, patients, and payers to ensure timely reimbursements and accurate referrals.

Responsibilities include processing referrals, answering questions about health plans, coordinating appointments, and maintaining referral records. The role requires HIPAA compliance and strong clerical skills in a fast-paced clinical setting.

Qualifications

• High school diploma or equivalent required.
• 1+ year experience in a medical facility preferred.
• Knowledge of health care field and medical office procedures.

Responsibilities

• Gathers, verifies and processes referrals, authorizations, and pre-certifications.
• Communicates billing and insurance questions with patients.
• Sets up appointments and coordinates clinic visits, including transportation and interpreter services.
• Coordinates information flow between clinic and referral authorization to secure valid referrals.
• Enters referrals and documents communications in the system.
• Notifies physicians and patients when referrals are denied or need more information.
• Maintains database of referral offices preferred by each physician.
• Assists Practice Manager with complaint resolution related to referrals.

Skills

Referral processing

HIPAA compliance

Medical office experience

Education

High school diploma

Job description

Primary Location:

FPA - North (Outer) - ULP - CMG

Address:

5100 Outer LoopLouisville, KY 40202

Shift:

First Shift (United States of America)

Job Description Summary:

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.
With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description:

The Referral Coordinator works with patients requiring a referral, to ensure patient’s referral needs are fulfilled for specialty service office visits and diagnostic imaging. Responsibilities include: processing referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement; scheduling; and, notifying patients of upcoming appointments.

Essential Functions:

• Gathers, verifies and processes referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers
• Communicates detailed information and answers patients’ questions regarding their health care plan; provide answers to billing and insurance clarification questions
• Sets up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
• Coordinates flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient
• Enters referrals, documents communication and action into the system, as appropriate
• Notifies physician(s) and patient when referral is denied, or if additional information is needed
• Develops and maintains database of referral physician offices preferred by each physician within the clinic
• Assists Practice Manager with complaint resolution and solutions related to patient referral

Shift Requirements:

Shift Length (in hours): 8 hours

Shifts/Week: 5

Overtime Required: Infrequently Sometimes Often n/a (exempt position)

Other Functions:

• Promptly and professionally answers telephones calls
• Fulfills clerical responsibilities as assigned
• Maintains compliance with all company policies, procedures and standards of conduct
• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
• Performs other duties as assigned

Additional Job Description:

Education:

• High school diploma or equivalent (required)

Experience:

• Minimum one (1) year of working in a medical facility with knowledge of health care field and medical office protocols/procedures (preferred)