Referral Coordinator| Referral Coordinators| Full Time| Days

UF Health; Jacksonville (FL); On-site; USD 36,000 - 52,000; Full time

Job summary

UF Health in Jacksonville, FL is seeking a Referral Coordinator to process referrals from providers within clinic settings and to obtain required authorizations when needed. You will schedule patient appointments and ensure referrals comply with payer requirements while maintaining clear communication with patients and staff.

The role emphasizes strong customer service, attention to policy details, and timely documentation in the health system.

Qualifications

• 2 years of experience in diagnosis and procedural coding preferred.
• 2 years of experience in the field and in a related area required.
• 2 years of customer service experience required.
• 2 years of experience with third party payers (insurance carriers) required.
• High School Diploma or GED is required.
• Medical terminology certificate is preferred.

Responsibilities

• Process referrals for services requested by providers within guidelines.
• Obtain authorizations for referrals and schedule appointments with patients.
• Coordinate appointment date, time and location with patients.
• Process requests for additional referrals/authorizations as requested by providers.
• Maintain referrals within network or payer requirements.
• Communicate with stakeholders, staff, providers, payers and patients per procedure.
• Document required information into appropriate systems.
• Provide excellent customer service to patients, staff and other customers.

Skills

Medical coding

Customer service

Payer knowledge

Education

High School Diploma

Medical Terminology certificate

Tools

Computer systems

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

Attends Referral training class and various referral system training classes within 1st month of employment. 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