Referral Specialist

AdventHealth; Sanford (FL); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Benefits from Day One: Medical, Dental

Paid Time Off from Day One

403-B Retirement Plan

Parental leave: 4 weeks

Career Development

Well-being resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth Sanford, FL seeks a detail-oriented administrative professional to support referral processing and patient coordination. You will handle communications with patients and physicians, manage orders, and ensure insurance requirements are met.

Must have knowledge of ICD-9/10 and CPT-4 coding, strong English communication, and proficiency with EMR and Microsoft Office. Experience in healthcare settings and a patient-centric approach are valued.

Qualifications

• High school diploma or equivalent required.
• 1+ years ICD-9 and CPT-4 coding experience preferred.
• Healthcare admin, call center experience or related preferred.

Responsibilities

• Communicates clearly with coworkers, patients and physicians.
• Maintains referral integrity and processes orders.
• Answers calls, assists patients with questions and schedules procedures.
• Ensures orders meet insurance requirements and coordinates across departments.

Skills

Medical terminology

English communication

Microsoft Office Suite

Telephone protocol

Customer service

Confidentiality

Team collaboration

Problem solving

ICD-9/10 Knowledge

CPT-4 Knowledge

EMR navigation

Education

High School Grad or Equiv

Tools

EMR software

Web-based applications

Office equipment (fax, copier, etc.)

Job description

Our Promise To You Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that

Our Promise To You Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule

Full time

Shift

Day (United States of America)

Address

401 Towne Center Blvd

City

Sanford

State

Florida

Postal Code

32771

Job Description

Communicates clearly and concisely with coworkers, patients, and physicians. Demonstrates and conveys a favorable image of the Medical Center and cooperates in a team atmosphere. Consistently works to stay up to date on referral orders to achieve the standard of care. Incorporates patient, physician, and customer needs into decision-making and organizational actions. Answers phone calls promptly, assists patients with questions, and schedules procedures as needed. Maintains referral integrity, processes all orders, and communicates with patients and providers. Checks voice mail and faxes frequently, sorts authorizations/denials, and ensures orders meet insurance requirements. Demonstrates a positive collaborative manner with team members and works well across department boundaries. Other duties as assigned.

Knowledge, Skills, And Abilities

• Demonstrates ability to communicate by reading, writing and typing legibly, speaking and comprehending English effectively in order to carry out job requirements.
• Knowledge of electronic medical record.
• Ability to complete Hospice of the Comforter Orientation and Training, as necessary.
• Knowledge of intermediate to advanced application of Microsoft Office Suite including Word, Excel, PowerPoint, Outlook as well as internet software.
• Knowledge of medical terminology.
• Ability to think critically regarding admission process.
• Knowledge of patient database system.
• Knowledge of telephone protocol.
• Ability to communicate effectively both orally and in writing, and to make professional presentations.
• Ability to manage difficult or emotional customer situations.
• Ability to work with culturally diverse groups of both genders.
• Ability to be respectful and non-judgmental in all dealings with all individuals.
• Ability to read, analyze and interpret government regulations involving all aspects of hospice care, general business periodicals, professional journals or technical procedures.
• Ability to maintain strict confidentiality of organization/employee/patient/family/caregiver information.
• Ability to write effective correspondence including letters, reports and other documentation.
• Ability to operate standard office machines such as fax, copier, calculator and mail machines.
• Ability to provide superior customer service to all contacts.
• Physician office billing, registration or scheduling experience.
• General knowledge of how to navigate various web-based applications.
• ICD-9/10 Knowledge.
• CPT-4 Knowledge.

Education

• High School Grad or Equiv [Required]

Work Experience

• 1+ years of icd-9 and cpt-4 coding experience [Preferred]
• Administrative or clerical experience. Healthcare experience, call center experience or related [Preferred]

Physical Requirements:

(Please click the link below to view work requirements)

Physical Requirements - https://tinyurl.com/23km2677

Pay Range

$17.80 - $28.48

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:

https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.