Referral Coordinator

Description

COME WATCH US GROW!

Looking to challenge your skills in the fast-paced continually evolving field of Ophthalmology?

At Florida Eye Specialists, a Sight360 company, we believe sight is our most important sense. It is a priceless gift that goes far beyond how you see the world. Sight is how we move through life, enjoy its wonders and form the memories that define us. That is why we are dedicated to care for our patient’s sight every day.

Requirements

The Referral Coordinator is responsible for documenting & scheduling all internal & external referrals as ordered by the doctor; not excluding co-managed patients. Verify patients’ details and information on medical history and insurance. Inform patients of scheduled visits, preparation and arrangements between the practice, facility and/or the provider referred to. Ensuring the referee provider provides follow up letters to referring provider and the loop is closed in the EMR system

Essential Functions and Responsibilities:

• Expediting the administrative requirements for the patient referrals, ensuring that appropriate referrals are made to participating providers with the patients’ health plan, obtaining appointments for Specialist visits, and notifying the patient/member of the appointment.
• Maintain and provide ongoing tracking and appropriate documentation or reports on referrals to promote team awareness and ensure patient safety.
• Processes all referral requests according to company policies and procedures.
• Acts as the primary contact for all co-managed patients, ensuring they’re managed according to company’s policies in a timely manner
• Receives, prioritizes, and prepares referral authorization supporting documentation for the authorizations department
• Ensure that referrals are addressed in a timely manner.
• Data entry of authorization into Electronic Health Records and/or Utilization Review system, ensuring that all referrals are tracked through to a completed visit and a report is received.
• Verifies member eligibility via insurance carrier as necessary.
• Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
• Review details and expectations about the referral with patients.
• Develops and promotes positive effective customer service relations with patients, and staff.
• Notifies patients of authorization status and inquiries in a consistently and professional matter.
• Directing unresolved issues and request to the appropriate designated resource.
• Performs other duties as assigned

Position/Type/ Expected Hours of Work:

• This is a full-time position and core hours of work and days are Monday through Friday 8:00 a.m. to 5:00 p.m.
• Potential for evening and weekend hours as required.

Qualifications:

• High School Diploma or equivalent
• Minimum 2 years’ experience with healthcare position referrals
• Bi-lingual English/Spanish preferred
• Proficient with Microsoft Outlook, Word, and Excel
• Proficient with IntelleChart Pro & Nextech Practice , preferred
• Expertise knowledge of medical terminology and Anatomy
• Knowledge of medical terms, ICD9 and CPT codes.

Skills and Abilities:

• Ability to communicate effectively with physicians and other clinical professional staff
• Strong people skill, independent decision making and customer service oriented.
• Excellent communication, Customer Service and telephone skills.
• Strong organizational skills and ability to multi-task effectively.
• Detail oriented and able to work efficiently in a stressful environment.
• Strong sense of teamwork.
• Able to respect and maintain patient confidentiality at all times.
• Must be able to work with the Practice Management System.
• Must be able to work independently.
• Must be able to follow policies and procedure.
• Ability to read and interpret medical records.

Benefits:

• Medical, Dental, Vision
• 401k and match
• PTO (paid time off)
• 8 Paid Holidays

Salary : $15 - $18