Referral Coordinator| Referral Coordinators| Full Time| Days

University of Florida Jacksonville Physicians, Inc.; Jacksonville (FL); On-site; USD 42,000 - 54,000; Full time

Job summary

University of Florida Jacksonville Physicians, Inc. seeks a Referral Coordinator to process referral requests for clinicians within the clinic module and to obtain necessary referrals/authorizations for services.

You will attend training, coordinate patient appointments, maintain referrals per payer guidelines, and communicate with providers, payers, and patients. Excellent customer service and accurate data entry are essential.

Qualifications

• Two years of experience in the field or a related area is required.
• Two years of customer service experience is required.
• Two years of experience with third party payers (insurance carriers) using commonly used concepts, practices and procedures in the field is required.
• Diagnosis and procedural coding is preferred.

Responsibilities

• Attends Referral training class and various referral system training classes within 1st month of employment and participates in Referral Coordinator meetings.
• Processes referrals for services requested by Providers within established guidelines.
• Obtains authorizations for referrals and schedules appointments with patients within required timeframes.
• Coordinates appointment date, time and location with patients.
• Processes requests for additional referrals/authorizations when requested by providers.
• Ensures referrals are maintained within appropriate network or payer requirements.
• Communicates with stakeholders, staff, providers, payers and patients as appropriate and per procedure.
• Documents required information into the appropriate systems.
• Delivers a standard of excellence in customer service for patients, staff members, and other customers.

Skills

Customer service

Communication

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

• 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