Job Description

Locations: Jacksonville, Florida

Categories: Office and Clerical

Req ID: 68142

Overview

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.

Responsibilities

Attends Referral training class and various referral system

training classes within 1st month of employment. Attends and

actively listens and participates in the regularly scheduled

Referral Coordinator meeting. Remains current on referral

policies and procedures, payer requirements and Managed

Care Matrix utilizing the various on-line resources.

Processes referrals for services requested by Providers within

established guidelines.

Obtains authorizations for referrals and schedules

appointments as appropriate and within required timeframes.

Coordinates appointment date, time and location with

patients.

Processes requests for additional referrals/authorizations

when requested by providers.

Assures referrals are maintained within appropriate network

or payer requirement.

Communicates with all stakeholders, staff, providers, payers

and patients as appropriate and per procedure.

Documents required information into the appropriate systems.

Provides a standard of excellence as it relates to customer

service for patients, staff members, and other customers.

Qualifications

Experience Requirements:

2 years - Diagnosis and Procedural coding - preferred

2 years - Experience in the field or in a related area - required

2 years - Customer service - required

2 years - Third party payers (insurance carriers) using commonly used concepts, practices and procedures in the field required

Preferred Experience: Computer experience - preferred

Education:

High School Diploma or GED equivalent - required

Certificate Medical Terminology - preferred

Travel Up to 10%

UFJPI is an Equal Opportunity Employer and Drugfree Workplace