Revenue Cycle Referral Coordinator

Baptist Health; Jacksonville (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

Baptist Health in Jacksonville, FL is seeking a Referral Coordinator to work directly with patients, physicians and insurance companies to obtain authorizations and referrals for a range of services. This role supports timely access to physician visits, imaging, therapy and surgical services, aligning with department policies.

You will verify eligibility, manage prior authorization requirements, document status in the systems and escalate financial clearance issues to the supervisor as needed.

Responsibilities

• Obtain authorizations and referrals for physician, imaging, rehabilitation, infusion therapy, radiation oncology and surgery appointments.
• Verify eligibility/benefits and prior authorization requirements; document status in the relevant systems.
• Escalate financial clearance issues to supervisor as needed.

Job description

About Baptist Health

Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.

About Baptist Health

Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.
The primary purpose of the referral coordinator is to work directly with patients, physician and physician teams, and insurance companies to obtain authorizations and/or referrals for physician, imaging services, rehabilitation, infusion therapy, radiation oncology, and surgery appointment types for both the physician and facility. This includes adherence to the department’s policies and procedures related to the verification of eligibility/benefits, prior authorization requirements, and other identified financial clearance related duties. Authorizations and referrals must be obtained in a timely manner and status of such must be clearly documented in the relevant systems. The referral coordinator is responsible for timely escalation of financial clearance issues to the supervisor. The referral coordinator should possess knowledge related to the field of assignment/support.
Primary Location:
Metro Square 3563 Philips Hwy Jacksonville, FL 32207 United States of America