Florida Medical Clinic Orlando Health
Job Title: Referral Coordinator I
Variable Full Time: Monday - Friday 8:00 AM to 5:00 PM
Department: GI
Location: Tampa, FL
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.
Why is Orlando Health your best place to work?
✅ 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.
Essential Functions• Completes entry ofreferrals and/or authorizationsinto EHR.• Completesregistration and obtainsinsurance authorization for new patients, diagnostic testing and for hospital diagnostics.• Coordinatesfollow-up care with the referral asthe referral expires.• Ensuresfinancial information and insurance is current and active.• Ensures Primary Care provider is accurate based on payer guidelines.• Updates patientinsurance information in EHR systems as needed.• Transcribesfaxed referral requests viaOn-Base fax system into EHR.• Initiatesthe referral and authorization processfor visits and services.• Works closely with clinical teamsto facilitate optimal patient care.• Coordinates with scheduling departments, and other departments as needed to facilitate patient’s visit.• Coordinates with Patients when necessary to complete referral.• Provides patient with referral information for physicians and facilities.• Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. to obtain the required authorization needed for each visit or service.• Maintains current knowledge ofreferral and authorization requirements based on payerspecific guidelines.• Maintain working knowledge of ICD-10 and CPT codes.• Demonstrates a basic knowledge of third-party reimbursement requirements and regulations.• Exhibits competency in the use ofregistration systems, electronic verification tools and Web-based resources.• Understands the importance Orlando Health places on providing exemplary customer service.• Performsjob in a manner that helpsmeet 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 that allows department to change/modify work schedule to meet departmental needs.• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal,state, and local standards.• Maintains compliance with all Orlando Health policies and procedure
Other Related Functions• Attends and participatesin departmentstaff meetings and other meetings as assigned.• Responsible for maintaining performancemeasures as outlined by the department’s productivity guidelines.
Education/TrainingHigh SchoolGraduate Medical Terminology
Licensure/CertificationNone
Experience• Two (2) years of directly related work experience preferred.• Experience in processing physician office and/or hospital referrals Proficient in Computer usage.
Situated in the heart of downtown St. Petersburg, Florida, Orlando Health Bayfront Hospital has served the residents of area communities for more than 110 years. Orlando Health, a not-for-profit healthcare organization headquartered in Central Florida, officially acquired Bayfront Hospital on October 1, 2020. Orlando Health Bayfront Hospital is a 480-bed comprehensive emergency, medical and surgical acute care facility – and home to the only state-accredited Level Two Adult Trauma Center in the St. Petersburg region. As a regional leader in emergency care, our 3 conveniently located emergency rooms are staffed with board-certified physicians and specialty-trained clinical teams who are ready to provide expert emergency care for all ages- 24 hours a day, seven days a week.
With advanced technology and expertise in numerous specialties including heart and vascular, neurosciences, digestive health, maternity care, emergency and trauma care, acute rehabilitation and surgical services, Orlando Health Bayfront Hospital provides a complete continuum of care. The hospital has a 38-bed neurosciences unit with a dedicated neurology team consisting of board-certified neuroscience specialists and physicians with subspecialty expertise in stroke, epilepsy and Parkinson’s disease, and includes a Level IV Epilepsy Center. In partnership with Johns Hopkins All Children’s Hospital, Bayfront Health Baby Place offers full obstetrical services and is a Level III Regional Perinatal Intensive Care Center, one of only 13 in Florida. The Bayfront Health Cardiac Cath Lab, offers more cardiac testing and treatment space than any other provider in the St. Petersburg/Pinellas County area, with ease of access to the cardiac surgical program. The hospital is also home to three residency programs and one fellowship program, providing an exceptional teaching and learning environment to train the healthcare leaders of the future.
