Referral Coordinator

The Villages Health•The Villages, FL

About The Position

The Villages Health is a patient-centered primary care driven, multi-specialty medical group with over 700 team members. Our unique care model gives us both the time and resources to truly care for our patients, along with a company culture that supports a healthy work-life balance for our team members. Our purpose, mission and vision is to empower Villagers and the surrounding communities to live out their dreams by keeping them healthy and healing them quickly. Together, we are changing the way healthcare is delivered and are making a positive difference in the lives of our patients and the communities we serve. In doing so, The Villages Health is creating America’s Healthiest Hometown.

Requirements

High school diploma. Associate’s degree from a community/junior college preferred or medical assistant certification completion.
0-12 months of TVH Experience.
Knowledge of billing practices and clinic policies and procedures.
Knowledge of coding and clinic operating policies.
Proficient skills in computer programs.
Effective communication skills, both verbal and written.
Strong customer service focus
Ability to take and follow through with tasks and responsibilities.
Ability to read and interpret medical charts.
Ability to examine documents for information necessary for referrals.
Ability to communicate effectively and work with others.

Responsibilities

This position is responsible for “Creating Raving Fans” by coordinating, verifying, distributing, and managing all referral services to provide a smooth process for our patients.
Mastered basic job duties and completed competencies.
Competent in EHR.
Uses customer service principles and techniques to deal with patients calmly and pleasantly.
Maintain ongoing tracking and appropriate documentation on referrals.
Assemble information concerning patient’s clinical background, referral needs, and provide appropriate clinical information to specialist.
Act as a point of contact for patients with questions and/or concerns related to regards to referrals and authorizations required.
Review details and expectations about the referral with patients.
Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis, as requested/required.
Proficient working in at least one of the following: Referral Consults, Referral Ancillary, Authorizations, Diagnostics, and Non-TVH.
Ensure referrals are addressed in a timely manner meeting or exceeding department benchmark.
Other duties as assigned.