Referral Coordinator | Surgery Business Services | Monday-Friday | Days

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

Job summary

UF Health in Jacksonville, FL seeks a Referral Coordinator to process referral requests for providers within the clinic module and to obtain authorizations when required. You will coordinate scheduling, ensure compliance with payer requirements, and maintain accurate documentation in the system.

You will participate in referral trainings, stay current on policies, and communicate effectively with providers, payers, staff, and patients to deliver excellent service and timely referrals.

Qualifications

• 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
• High School Diploma or GED equivalent - required
• Medical Terminology certificate - preferred

Responsibilities

• 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.
• Maintains referrals within appropriate network or payer requirements.
• Documents required information into the appropriate systems.
• Provides excellent customer service for patients, staff members, and other customers.

Skills

Customer service

Communication

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. Expected Performance 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.

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

UFJPI is an Equal Opportunity Employer and Drugfree Workplace