FPG, Referral Coordinator: FT, Days

Firelands Health Careers•Sandusky, OH

8d•Hybrid

About The Position

Responsible for performing a variety of duties including but not limited to: coordinating from start to finish internal and external referrals for FPG providers to ensure good continuity of care; obtaining any necessary prior authorizations for visits or procedures related to referrals; training new employees on relevant portions of the referral process and navigating necessary insurance web sites; monitoring for accuracy of patient information, and monitoring for completion of the process; implementing special projects related to the referral and prior authorization process; verifying insurance coverage; obtaining pre-certifications or prior authorizations as needed. Assigned to administrative office but may need to assist in working at other practice sites.

Requirements

High School graduate.
Ability to work in a safe and efficient manner and maintain an accident free work place, including ability to demonstrate a working knowledge of emergency codes.
Ability to comply with OSHA regulations and CDC standard and transmission based precaution recommendations and to utilize proper personal protective equipment.
Ability to comply with provisions of applicable S.D.S. forms.
Ability to communicate effectively in writing and verbally with medical and administrative staff, patients and families, co-workers and insurance companies.
Skill in exercising initiative, judgment, problem solving, and decision making.
Skill in analysis and interpretation of data, and preparation of reports.
Skill in time management and organization.
Ability to prioritize and meet deadlines to avoid crises management.
Knowledgeable in medical office procedures and medical terminology with computer and cash handling experience.
Knowledge of governmental regulations and compliance requirements.
Knowledge of computer systems and applications.

Nice To Haves

Vocational education or associates degree preferred.
Clinical degree or medical ambulatory setting experience preferred.

Responsibilities

Coordinating from start to finish internal and external referrals for FPG providers to ensure good continuity of care.
Obtaining any necessary prior authorizations for visits or procedures related to referrals.
Training new employees on relevant portions of the referral process and navigating necessary insurance web sites.
Monitoring for accuracy of patient information, and monitoring for completion of the process.
Implementing special projects related to the referral and prior authorization process.
Verifying insurance coverage.
Obtaining pre-certifications or prior authorizations as needed.
Assisting in working at other practice sites as needed.