Referral Coordinator | AdventHealth Medical Group West FloridaAll the benefits and perks you need for you and your family:
Benefits from Day One
Paid Days Off from Day One
Career Development
Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.Schedule: Full Time, 40 hours per weekShift : DaysLocation : 6340 Fort King Road, Zephyrhills FL, 33542The community you’ll be caring for: AdventHealth Medical Group West FloridaThe role you’ll contribute:The Referral Coordinator is responsible for receiving referral requests, obtaining physician approval, processing medical records requests pertaining to referrals and processing the referral. Schedules appointments with the referral, when necessary. Develops and maintains positive relationships with physician offices, patients and facilities while conveying accurate benefit and payment details in regard to any and all future visits. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.The value you’ll bring to the team:
Demonstrates through AdventHealth’s Service Standards of Own it, Love Me, Make it Easy and Keep Me Safe.
Ensures pre-certification and verification of benefits has been obtained and clearly documented on all required exams prior to procedure.Makes outgoing calls or utilizes on-line recourses to obtain for pre-certification or any authorization required by the insurance carriers.
Contacts patient or physician’s office using HIPAA guidelines prior to schedule exam when additional information is required.
Schedules hospital admissions, outpatient procedures/tests and notifies patient of appointment and referral number the same day it is obtained.
Responds to all referrals within one to two business days.
Notifies patients, physicians, and support staff with direct changes impacting the next day’s schedule.
Notified patients, physicians, and support staff with regard to appointment cancellations as a result of insurance denial, delay in obtaining insurance authorizations while effectively explaining the reason for the denial or delay.
Performs other duties as assigned, to ensure the smooth operation of the office.
The expertise and experiences you’ll need to succeed :Minimum qualifications :
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.
Possesses a strong knowledge of required waivers or documents.
Proficiency with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)
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
Maintains effective working relationships with patients, team members and providers.
High School diploma or equivalent
Preferred qualifications:
Medical terminology and office background
Understanding of co-insurance, co-pays and deductibles and the ability to explain
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.Category: Physician ServicesOrganization: AdventHealth Medical Group West FLSchedule: Full-timeShift: 1 - DayReq ID: 24042219We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
