Revenue Cycle Referral Coordinator

Baptist Health System, Inc.•Jacksonville, FL
•Onsite

About The Position

The BMDA Referral Coordinator works directly with patients, physicians and physician teams, and insurance companies to obtain authorizations and/or referrals for physician and facility appointments. Appointment types include physician visits, imaging services, rehabilitation, infusion therapy, radiation oncology, and surgery. The role follows department policies and procedures for verifying eligibility and benefits, determining prior authorization requirements, and completing other identified financial-clearance duties. Authorizations and referrals must be obtained promptly, and their status clearly documented in relevant systems. The coordinator escalates financial-clearance issues to the supervisor in a timely manner and should have knowledge related to oncology. Primary location: Downtown - Howard Building, 820 Prudential Dr, Jacksonville, FL 32207, United States of America.

Requirements

  • Knowledge related to the field of oncology.

Responsibilities

  • Work with patients, physicians and physician teams, and insurance companies to obtain authorizations and referrals for physician and facility appointments.
  • Obtain authorizations and referrals for physician visits, imaging services, rehabilitation, infusion therapy, radiation oncology, and surgery.
  • Verify eligibility and benefits and determine prior authorization requirements in accordance with department policies and procedures.
  • Complete other identified financial-clearance duties.
  • Obtain authorizations and referrals in a timely manner and clearly document their status in relevant systems.
  • Escalate financial-clearance issues to the supervisor in a timely manner.
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