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Referral Coordinator | Surgery-ENT | Faculty Clinic| Full Time | Days
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Full-time
high school, professional certificate
Posted 2d ago
Apply by Sep 9
~40 hrs/week
Responsibilities
The Referral Coordinator processes referral requests and obtains necessary authorizations for clinic providers. They are responsible for scheduling patient appointments and maintaining accurate documentation within the clinic systems.
Requirements
Candidates must have at least two years of experience in customer service, third-party payers, and related field work. A high school diploma or GED is required, with medical terminology certification preferred.
Full job description
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
University of Florida Health is a world-class academic health center in Florida, encompassing hospitals, physician practices, colleges, centers, institutes, programs and services across northeast and north-central Florida.
UF Health represents the shared vision and commitment to patient care excellence of more than 22,000 employees of the University of Florida Health Science Center and UF Health Shands health care system.
Offices: 1600 SW Archer Rd, Gainesville, FL 32608, US · 1515 SW Archer Road, Gainesville, FL 32608, US · 1600 SW Archer Road, Gainesville, FL 32608, US · 655 West 8th Street, Jacksonville, FL 32209, US
Health CareMedicalHealthcare Services & HospitalsHealthcare
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