What are the responsibilities and job description for the Referral Coordinator | Surgery Business Services | Day position at UF Health?
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
Qualifications
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
Essential Functions
• 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 appointmentdate, 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.
• All other duties as assigned
Qualifications
Computer experience
preferred
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
Education Requirements
High School Diploma orGED equivalent
required
Certificate
Medical Terminology
preferred
UFJPI is an Equal Opportunity Employer and Drug Free Workplace
