Referral Coordinator| Referral Coordinators| Full Time| Days

UF Health; Jacksonville (FL); On-site; USD 25,000 - 39,000; Full time

Job summary

UF Health in Jacksonville, FL is seeking a Referral Coordinator to process referral requests for providers within the clinic module and to obtain referrals/authorizations when needed. You will coordinate scheduling, document information, and ensure payer compliance.

Responsibilities include completing training, staying current on policies, and communicating with providers, payers, staff and patients to deliver high-quality customer service.

Qualifications

• 2 years experience in diagnosis and procedural coding preferred.
• 2 years experience in the field or related area required.
• 2 years experience in customer service required.
• 2 years experience with third party payers using common concepts and procedures required.

Responsibilities

• Process referrals for services requested by providers within established guidelines.
• Obtain authorizations for referrals and schedule appointments within required timeframes.
• Coordinate appointment date, time and location with patients.
• Process requests for additional referrals/authorizations when requested by providers.
• Ensure referrals are maintained within appropriate network or payer requirements.
• Communicate with stakeholders, staff, providers, payers and patients as appropriate.
• Document required information into the appropriate systems.
• Provide a standard of excellence in customer service for patients, staff and other customers.

Skills

Diagnosis and Procedural coding

Customer service

Payer knowledge

Education

High School Diploma or GED

Medical Terminology certificate

Tools

Computer experience

Job description

Overview

This position is responsible for processing referral requests for all providers practicing within the clinic module and ensuring that when needed, referral/authorization numbers are obtained for these services.

Responsibilities

Successfully completes Referral training class and various referral system training classes. Attends and actively listens and participates in the regularly scheduled Referral Coordinator meeting. Remains current on referral policies and procedures, payer requirements and Managed Care Matrix utilizing the various on-line resources.

Processes referrals for services requested by Providers within established guidelines.

Obtains authorizations for referrals and schedules appointments as appropriate and within required timeframes. Coordinates appointment date, time and location with patients.

Processes requests for additional referrals/authorizations when requested by providers.

Assures referrals are maintained within appropriate network or payer requirement.

Communicates with all stakeholders, staff, providers, payers and patients as appropriate and per procedure.

Documents required information into the appropriate systems.

Provides a standard of excellence as it relates to customer service for patients, staff members, and other customers

Qualifications

Experience Requirements:

2 years - Diagnosis and Procedural coding - preferred

2 years - Experience in the field or in a related area - required

2 years - Customer service - required

2 years - Third party payers (insurance carriers) using commonly used concepts, practices and procedures in the field - required

Preferred Experience:

Computer experience - preferred

Education:

High School Diploma or GED equivalent - required

Certificate Medical Terminology - preferred

Travel

Up to 10%

UFJPI is an Equal Opportunity Employer and Drugfree Workplace