Referral Coordinator I, OHMG Access Center - Downtown Orlando

Orlando Health • Orlando, FL

13h • Onsite

About The Position

Orlando Health Medical Group is a comprehensive physician group serving patients from across the southeastern United States, with over 200 practices and 1,200 physicians in more than 55 specialties. It is part of the Orlando Health system of care, which includes 24 hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices, and over 60 outpatient facilities across Florida. The system provides care for more than 142,000 inpatient and 3.9 million outpatient visits annually. Orlando Health is committed to providing benefits including career-growing FREE education programs and well-being services, with benefits starting on day one. The Referral Coordinator supports Clinical teams, Patients and Family Members by managing referrals and/or authorizations for the Medical Group. This role is responsible for processing Internal and External referrals and authorizations from orders prescribed by providers in the Electronic Health Record (EHR) system within the Outpatient Ambulatory setting.

Requirements

• High School Graduate
• Medical Terminology Knowledge
• Experience in processing physician office and/or hospital referrals
• Proficient in Computer usage

Nice To Haves

• Two (2) years of directly related work experience preferred

Responsibilities

• Completes entry of referrals and/or authorizations into EHR.
• Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital diagnostics.
• Coordinates follow-up care with the referral as the referral expires.
• Ensures financial information and insurance is current and active.
• Ensures Primary Care provider is accurate based on payer guidelines.
• Updates patient insurance information in EHR systems as needed.
• Transcribes faxed referral requests via On-Base fax system into EHR.
• Initiates the referral and authorization process for visits and services.
• Works closely with clinical teams to facilitate optimal patient care.
• Coordinates with scheduling departments, and other departments as needed to facilitate patient’s visit.
• Coordinates with Patients when necessary to complete referral.
• Provides patient with referral information for physicians and facilities.
• Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. to obtain the required authorization needed for each visit or service.
• Maintains current knowledge of referral and authorization requirements based on payer specific guidelines.
• Maintain working knowledge of ICD-10 and CPT codes.
• Demonstrates a basic knowledge of third-party reimbursement requirements and regulations.
• Exhibits competency in the use of registration systems, electronic verification tools and Web-based resources.
• Understands the importance Orlando Health places on providing exemplary customer service.
• Performs job in a manner that helps meet customer service goals.
• Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times.
• Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental needs.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
• Attends and participates in department staff meetings and other meetings as assigned.
• Responsible for maintaining performance measures as outlined by the department’s productivity guidelines.

Benefits

• Medical
• Dental
• Vision
• 403(b) Retirement Savings Plan
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Paid Time Off (up to 5 weeks to start)
• Life Insurance
• Extended Leave Plan (ELP)
• Family Care (childcare, elder care, pet care)
• Paid Parental Leave
• Pet Insurance
• Car Insurance
• Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees