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

University of Louisville Physicians; United States; On-site; USD 36,000 - 48,000; Full time

Job summary

University of Louisville Physicians is seeking a Referral Coordinator to coordinate referrals for specialty services and imaging. You will verify referrals, authorizations, and pre-certifications, and schedule appointments while ensuring timely communication with patients and physicians.

You will handle billing clarifications, coordinate clinic visits, and maintain referral records. The role requires a high school diploma and at least one year in a medical setting, with strong HIPAA compliance

Qualifications

• Education: High school diploma or equivalent (required).
• Experience: Minimum one year in a medical facility with knowledge of health care field.
• Familiarity with health insurance, referrals, and pre-certifications.

Responsibilities

• 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
• 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

Skills

Referral coordination

Patient communication

Scheduling

HIPAA compliance

Education

High school diploma or equivalent

Job description

Primary Location: FPA - North (Outer) - ULP - CMG Address: 5100 Outer Loop Louisville, 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

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

Shift Requirements:

• Shift Length (in hours): 8 hours
• Shifts/Week: 5
• Overtime Required: Infrequently Sometimes Often n/a (exempt position)

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)

UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. With more than 14,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.

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