Referral Specialist - Internal Medicine

Bayfront Health•Zephyrhills, FL

1d•Onsite

About The Position

The Referral Specialist is the initial contact for each new patient within the Internal Medicine department at Florida Medical Clinic Orlando Health. This role is responsible for completing patient registrations, obtaining necessary insurance authorizations for new patients, diagnostic testing, and hospital admissions. The specialist ensures financial information and insurance details are verified and updated in billing systems. They initiate the referral and authorization process for all services and visits, working closely with nursing and medical staff to facilitate optimal patient care. Additionally, they communicate with the scheduling department to confirm insurance requirements are met for appointments, coordinate with other departments, and provide patients with referral information for other physicians and facilities. Effective communication with all internal and external customers, including PCPs, patients, and clinical departments, is crucial for obtaining required authorizations. The role also requires maintaining regular attendance and compliance with all Orlando Health policies and procedures.

Requirements

High school graduate or equivalent education.
One (1) year of retail, customer service or health care experience.

Responsibilities

Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital admissions.
Ensures financial information and insurance has been verified.
Updates patient insurance information in billing systems as needed.
Initiates the referral and authorization process for all services and visits.
Works closely with nursing and medical staff to facilitate optimal patient care.
Communicates with the scheduling department to verify each patient’s insurance requirements have been satisfied for upcoming appointments.
Coordinates with other departments as needed to facilitate patient’s visit.
Provides patient with referral information for other physicians and facilities.
Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. in order to obtain the required authorization needed for each service.
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
Maintains compliance with all Orlando Health policies and procedures.
Assumes responsibility for professional development and education.