FPG, Referral Coordinator: FT, Days

About the role

Firelands Health is the area’s largest and most comprehensive resource for quality medical care. The position is responsible for performing a variety of duties including but not limited to: coordinating from start to finish internal and external referrals for FPG providers to ensure good continuity of care; obtaining any necessary prior authorizations for visits or procedures related to referrals; training new employees on relevant portions of the referral process and navigating necessary insurance websites; monitoring for accuracy of patient information, and monitoring for completion of the process; implementing special projects related to the referral and prior authorization process; verifying insurance coverage; obtaining pre-certifications or prior authorizations as needed.

Responsibilities

• Coordinating from start to finish internal and external referrals for FPG providers to ensure good continuity of care
• Obtaining any necessary prior authorizations for visits or procedures related to referrals
• Training new employees on relevant portions of the referral process and navigating necessary insurance websites
• Maintaining accuracy of patient information and monitoring process completion
• Implementing special projects related to the referral and prior authorization process
• Verifying insurance coverage and obtaining pre-certifications or prior authorizations as needed

Requirements

• High School graduate; vocational education or associates degree preferred; Clinical degree or medical ambulatory setting experience preferred
• All employees must be able to provide proof of their identity and their right to work in the United States
• Pre-employment tuberculin test, symptom survey, or chest x-ray
• Ability to work in a safe and efficient manner and maintain an accident free work place, including ability to demonstrate a working knowledge of emergency codes
• Ability to comply with OSHA regulations and CDC standard and transmission based precaution recommendations and to utilize proper personal protective equipment
• Successful completion of a 90 day get-acquainted period