Referral Coordinator I - Orthopedics

Variable Full Time: Monday - Friday 8:00 AM to 5:00 PM, located in Brandon, FL.

About the Role

The Referral Coordinator supports clinical teams, patients, and family members by managing referrals and/or authorizations for the Medical Group. They are responsible for processing internal and external referrals and authorizations from orders prescribed by the provider in the Electronic Health Record (EHR) system within the outpatient ambulatory setting.

Responsibilities

• Completes entry of referrals and/or authorizations into EHR.
• Completes registration and obtains insurance authorization for new patients, diagnostic testing, and hospital diagnostics.
• Coordinates follow-up care with the referral as it expires.
• Ensures financial information and insurance is current and active.
• Ensures Primary Care provider is accurate based on payer guidelines.
• Updates patient insurance information in EHR systems as needed.
• Transcribes faxed referral requests via On-Base fax system into EHR.
• Initiates the referral and authorization process for visits and services.
• Works closely with clinical teams to facilitate optimal patient care.
• Coordinates with scheduling departments and other departments as needed to facilitate patient visits.
• Coordinates with patients when necessary to complete referrals.
• Provides patients with referral information for physicians and facilities.
• Communicates effectively with all internal and external customers (PCP, patient, clinical departments, etc.) to obtain required authorization for each visit or service.
• Maintains current knowledge of referral and authorization requirements based on payer-specific guidelines.
• Maintains working knowledge of ICD-10 and CPT codes.
• Demonstrates a basic knowledge of third-party reimbursement requirements and regulations.
• Exhibits competency in the use of registration systems, electronic verification tools, and web-based resources.
• Understands and upholds Orlando Health’s commitment to exemplary customer service.
• Performs job in a manner that helps meet customer service goals.
• Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times.
• Maintains flexibility in work schedule availability to meet departmental needs.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards.
• Attends and participates in department staff meetings and other meetings as assigned.
• Responsible for maintaining performance measures as outlined by the department’s productivity guidelines.

Requirements

• High School Graduate.
• Medical Terminology knowledge.
• Two (2) years of directly related work experience preferred.
• Experience in processing physician office and/or hospital referrals.
• Proficient in computer usage.

Benefits

• Education & Career Growth: Tuition reimbursement, Public Service Loan Forgiveness (PSLF), and leadership development programs.
• Health & Wellness: Comprehensive medical, dental, vision, free virtual visits, and well-being programs.
• Financial & Retirement: Up to 5% employer match on retirement contributions.
• Work-Life Balance: Four weeks of paid parental leave, PTO, and flexible leave options.
• Family & Pet Support: Fertility benefits, adoption assistance, backup care for children/elders/pets, and pet insurance.

Schedule

Monday - Friday, 8:00 AM to 5:00 PM.