Referral Coordinator II - Urology Adult Services

Department: Orlando Health Medical Group - Urology Adult Services

Status: Full time | 40 hours a week

Shift: Monday - Friday, 8am - 5pm

Title: Referral Coordinator II

***Address of Practice: 1401 LUCERNE TER ORLANDO FL 32806***

Position Summary

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.

All Inclusive Benefits (start day one)

Health/Dental/Vision/Life Insurance, Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

About OHMG

Orlando Health Medical Group is a comprehensive physician group serving patients from across the southeastern United States. With more than 200 practices and 1,200 physicians, Orlando Health Medical Group has a strong representation in over 55 specialties, including cardiology, vascular medicine, orthopedics, oncology, digestive health, neurology, neurosurgery, bariatric surgery, general surgery, bone marrow transplant and critical care medicine, as well as more than 30 pediatric subspecialties, women’s health, primary care and the largest hospitalist program in Florida.

Orlando Health Medical Group is part of the Orlando Health system of care, which includes 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities that span Florida’s east to west coasts and beyond. Collectively, we honor our 100-year legacy by providing care for more than 142,000 inpatient and 3.9 million outpatient visits each year.

Essential Functions
• Completes entry of referrals and/or authorizations into EHR.
• Coordinates follow-up care with the referral as the referral expires.
• Responsible to schedule various appointments associated with the referral, diagnostic testing and surgical procedures.
• Ensures financial information and insurance has been verified.
• Ensures Primary Care provider is accurate based on payer guidelines.
• Updates patient insurance information in EHR systems as needed
• Initiates the referral and authorization process for visits and services.
• Works closely with nursing and medical staff to facilitate optimal patient care.
• Communicates with the scheduling department to verify each patient’s insurance requirements have been satisfied for upcoming
appointments.
• Coordinates with other departments as needed to facilitate patient’s visit.
• Coordinates with Patients when necessary to complete referral
• Provides peer to peer training and new hire preceptor
• Provides patient with referral information for physicians and facilities.
• Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. in order to obtain the
required authorization needed for each visit or service.
• Maintain working knowledge of ICD-10 and CPT codes.
• Maintains current knowledge of referral and authorization requirements based on payer specific guidelines
• 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.
• Serves as a resource for the department of referring provider options
• Understands the importance Orlando Health places on providing 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.
• Contributes suggestions for improving workflow and productivity.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state
and local standards.
• Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental
needs.
• Basic understanding of how the referral role affects the Organization’s Initiatives and goals.
• Maintains compliance with all Orlando Health policies and procedures.

Education/Training
High school graduate
Medical Terminology

Experience
Three (3) years of directly related work experience. Experience in processing physician office and/or hospital referrals
Proficient in Windows Microsoft Office based products (Word, Excel, and Power Point)
Proficient in PC/Windows experience.