Referral Coordinator| Surgery| Full Time | Days

University of Florida Jacksonville Physicians, Inc.; Jacksonville (FL); On-site; USD 36,000 - 56,000; Full time

Job summary

University of Florida Jacksonville Physicians, Inc. is seeking a Referral Coordinator to process referrals for all providers in the clinic module and obtain necessary authorizations when needed.

You will attend referral training and department meetings, stay current on policies and payer requirements, and coordinate referrals with patients, providers, and payers within required timeframes. Travel is up to 10% as part of the position.

Qualifications

• 2 years in diagnosis and procedural coding preferred.
• 2 years in the field or related area required.
• 2 years of customer service required.
• 2 years of third-party payers knowledge required.

Responsibilities

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

Skills

Diagnosis coding

Referral experience

Customer service

Payer knowledge

Education

High School Diploma or GED

Medical Terminology Certification

Tools

Medical software 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