Referral Specialist Practice Based

AdventHealth; Palm Coast (FL); On-site; USD 24,000 - 38,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

403(b) Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth Palm Coast is seeking an administrative professional to support non-clinical calls, referrals, and front-desk duties in a busy care center.

You will handle messages, coordinate referrals and authorizations, liaise with insurance companies, and maintain accurate patient charts. A high school diploma is required; 1+ year ICD-9/CPT-4 coding experience is preferred. Strong computer and customer service skills are essential.

Qualifications

• High School Grad or Equiv required.
• 1+ year ICD-9 and CPT-4 coding experience preferred.
• Experience with computers required.
• Proficiency with MS Office Suite (Outlook, Word, Excel).
• Professional, clear communication and customer service skills.
• Ability to read, understand and follow instructions.
• Typing speed 50 wpm.
• Strong customer service background.
• Understanding of insurance carrier plans and coverage benefits.

Responsibilities

• Takes accurate and legible messages, including time, date, and initials.
• Answers non-clinical questions for patients and family members and routes all other calls correctly.
• Uses the telephone system according to guidelines.
• Obtains physician approval for referrals and hospital admissions.
• Serves as liaison between the insurance company, patient, and physician.
• Completes referrals and documents referral numbers in patient charts.
• Schedules admissions, procedures/tests, and notifies patients of appointments and referral numbers.
• Contacts insurance for referral numbers or pre-certification/authorization.
• Obtains and forwards medical records to process referrals or authorizations and follows up with insurance regarding status.
• Faxes referrals and directs patients to appropriate specialists and vendors.

Skills

Office procedures

English grammar

Microsoft Office

Greeting patients

Clear speech

Reading comprehension

Typing speed

Teamwork

Insurance knowledge

Medical terminology

Professional communication

Problem solving

Working under pressure

Float duties

Customer service

Insurance concepts

Education

High School Diploma or Equiv

Tools

Microsoft Office

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 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

Schedule: Full time

Shift: Day (United States of America)

Address: 120 Cypress Edge Dr

City: Palm Coast

State: Florida

Postal Code: 32164

Job Description

Takes accurate and legible messages, including time, date, and initials. Answers non-clinical questions for patients and family members and routes all other calls correctly. Uses the telephone system appropriately according to guidelines. Obtains physician approval for referrals and hospital admissions. Serves as a liaison between the insurance company, the patient, and the physician. Completes all referrals in a timely manner and documents referral numbers in patient charts. Schedules hospital admissions, outpatient procedures/tests, and notifies patients of appointments and referral numbers the same day they are obtained. Contacts insurance companies for referral numbers or pre-certification/authorization. Obtains and forwards medical records from specialists or hospitals to process referrals or hospital authorizations and follows up with insurance companies regarding the status of authorizations. Completes special projects. Other duties as assigned. Faxes referrals to specialists and directs patients to appropriate specialists and vendors according to their insurance.

Knowledge, Skills, and Abilities

• Knowledge of business office procedures.
• Knowledge of English grammar, spelling, and punctuation to type patient information.
• Skill in operating a computer, photocopy machine, and proficiency with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint).
• Skill in greeting patients and answering the telephone in a professional, pleasant, and helpful manner.
• Ability to speak clearly and concisely.
• Ability to read, understand, and follow oral and written instruction.
• Ability to type 50 words per minute accurately.
• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Demonstrates ability to communicate by reading, writing legibly, speaking, and comprehending English effectively in order to carry out job requirements.
• Possesses a strong knowledge, understanding, and competency in the areas of insurance carrier plans and coverage benefits, procedures, CPT codes, HCPCS, and ICD-10 codes.
• Professional, oral, and written communication skills.
• Problem-solving and critical thinking skills.
• Ability to work in a team setting, as well as independently.
• Ability to work well under pressure with deadlines – sense of urgency.
• Ability to prioritize and manage simultaneous assignments with frequent interruptions while paying close attention to details.
• Must be willing to float to other practices, within reason, when patient load, vacation schedules, etc., make it necessary.
• Strong customer service background.
• Understanding of co-insurance, co-pays, and deductibles, and the ability to explain.
• Medical terminology and office background preferred.
• Additional languages preferred.

Education

• High School Grad or Equiv [Required]

Field of Study

• N/A

Work Experience

• 1+ of icd-9 and cpt-4 coding experience [Preferred]
• Experience with computers [Required]

Additional Information

• N/A

Licenses and Certifications

• N/A

Physical Requirements

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

Pay Range

• $17.28 - $27.65

Background Screening Requirement (Florida Law)

• Certain positions are subject 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/

Equal opportunity employer

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