Referral Coordinator

South Florida Community Care Network LLC • Sunrise, FL

7d • $18 - $20 • Hybrid

About The Position

Responsible for the daily workflow of the Medical Management Department and the processing of referrals in an efficient manner.

Requirements

• High School Diploma or general education degree (GED) and one to two years related experience and/or training; or equivalent combination of education and experience.
• Knowledge of Microsoft Excel, word processing software, database software, and electronic medical record navigation.
• Experience in data processing in a healthcare setting is a plus.
• Time management
• Prioritization skills
• Good communication skills
• Professionalism
• Ability to work in a fast-paced environment
• Flexibility with changing responsibilities

Nice To Haves

• Experience in data processing in a healthcare setting

Responsibilities

• Processes requests for authorization within established timelines.
• Verifies enrollee eligibility and provider network status.
• Interacts with provider offices to advise and educate on the referral process, assists with resolving issues, and obtains medical data.
• Interacts well with co-workers, enrollees, and external customers.
• Maintains enrollee confidentiality by following HIPAA rules and regulations, as well as internal compliance policies.
• Receives and documents calls from providers via phone queue and addresses these in a professional manner using approved standard responses whenever applicable.
• Employees will be required to perform any other job-related duties assigned by their supervisor or management.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED