Referral Specialist - Orthopedics

Orlando Health•Wesley Chapel, FL

13h•Onsite

About The Position

The Referral Specialist is the initial contact for each new patient within the Orlando Health Jewett Orthopedic Institute West Region, specifically in the Orthopedics department located in Wesley Chapel, FL. This variable full-time position operates Monday through Friday from 8:00 AM to 5:00 PM. The role is crucial for managing patient registrations, insurance authorizations for services and admissions, and ensuring all financial and insurance information is verified and updated in billing systems. The specialist also initiates the referral and authorization process, coordinates with various departments and staff to facilitate optimal patient care, and communicates referral information to patients. Maintaining regular attendance and compliance with Orlando Health policies are also key aspects of the role.

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.