Referral Coordinator| Surgery| Full Time | Days

Overview: This position is responsible for processing referral requests for all providers practicing within the clinic module and ensuring that when needed, referral/authorization numbers are obtained for these services. 2 years - Third party payers (insurance carriers) using commonly used concepts, practices and procedures in the field required.

Overview: This position is responsible for processing referral requests for all providers practicing within the clinic module and ensuring that when needed, referral/authorization numbers are obtained for these services. Responsibilities:

Attends Referral training class and various referral system
training classes within 1st month of employment. Attends and
actively listens and participates in the regularly scheduled
Referral Coordinator meeting. Remains current on referral
policies and procedures, payer requirements and Managed
Care Matrix utilizing the various on-line resources.

Processes referrals for services requested by Providers within
established guidelines.

Obtains authorizations for referrals and schedules
appointments as appropriate and within required timeframes.
Coordinates appointment date, time and location with
patients.

Processes requests for additional referrals/authorizations
when requested by providers.

Assures referrals are maintained within appropriate network
or payer requirement.

Communicates with all stakeholders, staff, providers, payers
and patients as appropriate and per procedure.

Documents required information into the appropriate systems.

Provides a standard of excellence as it relates to customer
service for patients, staff members, and other customers.

Qualifications:

Experience Requirements:

2 years - Diagnosis and Procedural coding - preferred

2 years - Experience in the field or in a related area - required

2 years - Customer service - required

2 years - Third party payers (insurance carriers) using commonly used concepts, practices and procedures in the field required

 

Preferred Experience: Computer experience - preferred

 

Education:

High School Diploma or GED equivalent - required

Certificate Medical Terminology - preferred

 

Travel Up to 10%

 

UFJPI is an Equal Opportunity Employer and Drugfree Workplace