Referral Coordinator

About the role

Joining AdventHealth is about extending the healing ministry of Christ. You'll be part of a community that values the whole person, providing care in body, mind, and spirit.

Responsibilities

• Takes accurate and legible messages, including time, date, and initials.
• Answers non-clinical questions for patients and family members and routes all other calls correctly.
• Uses the telephone system appropriately according to guidelines.
• Obtains physician approval for referrals and hospital admissions.
• Serves as a liaison between the insurance company, the patient, and the physician.
• Completes all referrals in a timely manner and documents referral numbers in patient charts.
• Schedules hospital admissions, outpatient procedures/tests, and notifies patients of appointments and referral numbers the same day they are obtained.
• Contacts insurance companies for referral numbers or pre-certification/authorization.
• Obtains and forwards medical records from specialists or hospitals to process referrals or hospital authorizations and follows up with insurance companies regarding the status of authorizations.
• Completes special projects.

Requirements

• Knowledge of business office procedures.
• Knowledge of English grammar, spelling, and punctuation to type patient information.
• Proficiency with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint).
• Ability to speak clearly and concisely.
• Ability to read, understand, and follow oral and written instruction.
• Ability to type 50 words per minute accurately.
• Establishes and maintains effective working relationships with patients, employees, and the public.
• Demonstrates ability to communicate by reading, writing legibly, speaking, and comprehending English effectively in order to carry out job requirements.
• Possesses a strong knowledge, understanding, and competency in the areas of insurance carrier plans and coverage benefits, procedures, CPT codes, HCPCS, and ICD-10 codes.
• Professional, oral, and written communication skills.
• Problem-solving and critical thinking skills.
• Ability to work in a team setting, as well as independently.
• Ability to work well under pressure with deadlines – sense of urgency.
• Ability to prioritize and manage simultaneous assignments with frequent interruptions while paying close attention to details.
• Must be willing to float to other practices, within reason, when patient load, vacation schedules, etc., make it necessary.
• Strong customer service background.
• Understanding of co-insurance, co-pays, and deductibles, and the ability to explain.
• Medical terminology and office background preferred.
• Additional languages preferred.

Qualifications

• High School Grad or Equiv [Required]
• 1+ years of ICD-9 and CPT-4 coding experience [Preferred]
• Experience with computers [Required]

Physical Requirements

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Pay

$17.11 - $27.38

Schedule

Full time, Day Shift