Referral Management Coordinator

Franciscan Alliance, Inc.

5d•$19 - $24•Remote

About The Position

The Patient Engagement Access Center (PEAC) Referral Management Specialist is an important role for processing internal, incoming, and external referrals for all ambulatory services. In this role you will obtain prior authorizations, schedule patients, work inbound and outbound phone calls. You will also engage in conversations with patients on their responsibilities for copayment, prepayment, and any outstanding balance.

Requirements

High School Diploma/GED
2 years Medical referrals, healthcare, and or prior authorization

Responsibilities

Ensure current and standardized referral policies and workflows are followed and utilized on a regular basis.
Prioritize referrals by their urgency and address them in a timely manner.
Ensure complete demographic, insurance information, and appropriate/pertaining clinical information is sent to referred specialists.
Contact insurance companies to ensure prior approval requirements are met.
Present necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove the medical necessity of services.
Review details and expectations about the referral with ordering providers and patients.