Referral Coordinator| Referral Coordinators| Full Time| Days

UF Health•Jacksonville, FL

About The Position

The Referral Coordinator processes referral requests for providers practicing within the clinic module and obtains referral or authorization numbers when needed. The role processes referrals, obtains authorizations, schedules and coordinates appointments with patients, and ensures referrals comply with network and payer requirements. The coordinator communicates with staff, providers, payers, patients, and other stakeholders; documents required information in appropriate systems; and provides excellent customer service.

Requirements

Two years of experience in the field or a related area.
Two years of customer service experience.
Two years of experience with third-party payers (insurance carriers), using commonly used concepts, practices, and procedures in the field.
High school diploma or GED equivalent.

Nice To Haves

Two years of diagnosis and procedural coding experience.
Computer experience.
Certificate in Medical Terminology.

Responsibilities

Complete Referral training and referral system training classes.
Attend and actively participate in regularly scheduled Referral Coordinator meetings.
Stay current on referral policies and procedures, payer requirements, and the Managed Care Matrix using online resources.
Process referrals for services requested by providers according to established guidelines.
Obtain referral authorizations and schedule appointments within required timeframes, coordinating appointment dates, times, and locations with patients.
Process requests from providers for additional referrals or authorizations.
Ensure referrals are maintained within the appropriate network or meet payer requirements.
Communicate with staff, providers, payers, patients, and other stakeholders as appropriate and according to procedure.
Document required information in the appropriate systems.
Provide excellent customer service to patients, staff members, and other customers.