About the role
OverviewThis 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. ResponsibilitiesAttends Referral training class and various referral systemtraining classes within 1st month of employment.
- Schedule
- FULL_TIME
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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. ResponsibilitiesAttends Referral training class and various referral systemtraining classes within 1st month of employment. Attends andactively listens and participates in the regularly scheduledReferral Coordinator meeting.
Remains current on referralpolicies and procedures, payer requirements and ManagedCare Matrix utilizing the various on-line resources. Processes referrals for services requested by Providers withinestablished guidelines. Obtains authorizations for referrals and schedulesappointments as appropriate and within required timeframes.
Coordinates appointment date, time and location withpatients. Processes requests for additional referrals/authorizationswhen requested by providers. Assures referrals are maintained within appropriate networkor payer requirement.
Communicates with all stakeholders, staff, providers, payersand patients as appropriate and per procedure. Documents required information into the appropriate systems. Provides a standard of excellence as it relates to customerservice for patients, staff members, and other customers.
QualificationsExperience
2 years - Diagnosis and Procedural coding - preferred2 years - Experience in the field or in a related area - required2 years - Customer service - required2 years - Third party payers (insurance carriers) using commonly used concepts, practices and procedures in the field required Preferred
Computer experience - preferred
High School Diploma or GED equivalent - requiredCertificate Medical Terminology - preferred Travel Up to 10% UFJPI is an Equal Opportunity Employer and Drugfree Workplace
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