Referral Coordinator

UF Health•Jacksonville, FL

About The Position

Attends Referral training class and various referral system training classes within 1st month of employment. Attends and actively listens and participates in the regularly scheduled Referral Coordinator meeting. Remains current on referral policies and procedures, payer requirements and Managed Care Matrix utilizing the various on-line resources. Processes referrals for services requested by Providers within established guidelines. Obtains authorizations for referrals and schedules appointments as appropriate and within required timeframes. Coordinates appointment date, time and location with patients. Processes requests for additional referrals/authorizations when requested by providers. Assures referrals are maintained within appropriate network or payer requirement. Communicates with all stakeholders, staff, providers, payers and patients as appropriate and per procedure. Documents required information into the appropriate systems. Provides a standard of excellence as it relates to customer service for patients, staff members, and other customers

Requirements

2 years - Experience in the field or in a related area - required
2 years - Customer service - required
2 years - Third party payers (insurance carriers) using commonly used concepts, practices and procedures in the field - required
High School Diploma or GED equivalent - required

Nice To Haves

2 years - Diagnosis and Procedural coding - preferred
Computer experience - preferred
Certificate Medical Terminology - preferred

Responsibilities

Attends Referral training class and various referral system training classes within 1st month of employment.
Attends and actively listens and participates in the regularly scheduled Referral Coordinator meeting.
Remains current on referral policies and procedures, payer requirements and Managed Care Matrix utilizing the various on-line resources.
Processes referrals for services requested by Providers within established guidelines.
Obtains authorizations for referrals and schedules appointments as appropriate and within required timeframes.
Coordinates appointment date, time and location with patients.
Processes requests for additional referrals/authorizations when requested by providers.
Assures referrals are maintained within appropriate network or payer requirement.
Communicates with all stakeholders, staff, providers, payers and patients as appropriate and per procedure.
Documents required information into the appropriate systems.
Provides a standard of excellence as it relates to customer service for patients, staff members, and other customers