Referral Management Coordinator

Franciscan Alliance, Inc.

5d•Remote

About The Position

The Referral Management Coordinator is responsible for processing internal, incoming, and external referrals for all ambulatory services. This position will obtain prior authorizations, schedule patients, and work inbound and outbound phone calls. PEAC Referral Management Specialists are responsible to engage in conversations with patients on their responsibilities for copayment, prepayment, and outstanding balance and engage in the POS collection process. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.

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.