What are the responsibilities and job description for the Referral Coordinator - Physician Services - FT Weekdays Only position at Fauquier Health?
The Referral Coordinator is responsible for obtaining and processing all pertinent clinical information needed for the authorization/ referral of professional and medical services.
- Promptly and accurately obtains appropriate authorizations/ referrals for scheduled procedures/ office visits. Performs data entry of referral authorization, outpatient surgeries, inpatient procedures and admissions as applicable.
- Posts charges for daily visits, as requested by the manager. Posts patient payments accurately.
- Obtains codes, date of service, and clinical data as required by payers for determination of approval/ denial of services. Verify insurance eligibility for referral or authorization needed.
- Posts EOB’s accurately and efficiently. Reverts to responsible party and makes adjustments accordingly. Follows up patient accounts and processes for collections or refunds, as needed.
- Resolves and assists patients on site and over the phone with questions regarding their accounts.
Who We Are:
Fauquier Health is a 97-bed acute care hospital offering surgical services (including robotics), a 24-hour Emergency Department, extensive medical imaging capabilities, an Intensive Care Unit and much, much more. The Fauquier Health system offers patient care for a variety of specialty services including Orthopedics and Spine, a Cardiac Catheterization Lab, and robotic-assisted surgery. The fourth floor of the hospital is devoted to our Family Birthing Center and Intermediate Care Nursery.
Where We Are:
The charm of Warrenton is irresistible with Old Town Warrenton’s brick sidewalks and historic homes, set beside local businesses who love to greet neighbors and visitors. Whether you are seeking outdoor adventure, local cuisine, or the charm of shops and boutiques, here you will find something for everyone.
Why Choose Us:
- Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
- Competitive Paid Time Off / Extended Illness Bank package for full-time employees
- Employee Assistance Program – mental, physical, and financial wellness assistance
- Tuition Reimbursement/Assistance for qualified applicants
- Professional Development and Growth Opportunities
- And much more…
Minimum Education
High school diploma or equivalent X Preferred Required
Minimum Work Experience
Required - 1 year demonstrated experience obtaining Authorizations/Referrals. Preferred - 2 year demonstrated experience obtaining Authorizations/Referrals.
Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Knowledge of medical coding practices, including ICD-9, 10 and CPT coding.
Knowledge of and familiarity with medical terminology.
EEOC Statement:
Fauquier Health System is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
