University of Florida
Referral Coordinator-Full Time Days
University of Florida, Jacksonville, Florida, United States, 32290
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
Attend referral training class and various referral system training classes within 1st month of employment.
Attend and actively listen and participate in the regularly scheduled Referral Coordinator meeting.
Remain current on referral policies and procedures, payer requirements and Managed Care Matrix using the various online resources.
Process referrals for services requested by providers within established guidelines.
Obtain authorizations for referrals and schedule appointments as appropriate and within required timeframes.
Coordinate appointment date, time and location with patients.
Process requests for additional referrals/authorizations when requested by providers.
Ensure referrals are maintained within appropriate network or payer requirement.
Communicate with all stakeholders, staff, providers, payers and patients as appropriate and per procedure.
Document required information into the appropriate systems.
Provide 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 in Medical Terminology (preferred)
Travel Up to 10%
UFJPI is an Equal Opportunity Employer and Drugfree Workplace
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Responsibilities
Attend referral training class and various referral system training classes within 1st month of employment.
Attend and actively listen and participate in the regularly scheduled Referral Coordinator meeting.
Remain current on referral policies and procedures, payer requirements and Managed Care Matrix using the various online resources.
Process referrals for services requested by providers within established guidelines.
Obtain authorizations for referrals and schedule appointments as appropriate and within required timeframes.
Coordinate appointment date, time and location with patients.
Process requests for additional referrals/authorizations when requested by providers.
Ensure referrals are maintained within appropriate network or payer requirement.
Communicate with all stakeholders, staff, providers, payers and patients as appropriate and per procedure.
Document required information into the appropriate systems.
Provide 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 in Medical Terminology (preferred)
Travel Up to 10%
UFJPI is an Equal Opportunity Employer and Drugfree Workplace
#J-18808-Ljbffr