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 the first 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 utilizing 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 requirements.
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 in customer service for patients, staff members, and other customers.
Qualifications
Experience Requirements:
2 years in Diagnosis and Procedural coding – preferred
2 years in the field or a related area – required
2 years in Customer Service – required
2 years in third‑party payers (insurance carriers) using common concepts, practices and procedures – required
Preferred Experience:
Computer experience – preferred
Education:
High School Diploma or GED equivalent – required
Certificate in Medical Terminology – preferred
Travel: Up to 10%
Seniority level Entry level
Employment type Full‑time
Job function Health Care Provider
Industry: Hospitals and Health Care
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 the first 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 utilizing 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 requirements.
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 in customer service for patients, staff members, and other customers.
Qualifications
Experience Requirements:
2 years in Diagnosis and Procedural coding – preferred
2 years in the field or a related area – required
2 years in Customer Service – required
2 years in third‑party payers (insurance carriers) using common concepts, practices and procedures – required
Preferred Experience:
Computer experience – preferred
Education:
High School Diploma or GED equivalent – required
Certificate in Medical Terminology – preferred
Travel: Up to 10%
Seniority level Entry level
Employment type Full‑time
Job function Health Care Provider
Industry: Hospitals and Health Care
UFJPI is an Equal Opportunity Employer and Drugfree Workplace
#J-18808-Ljbffr