Referral Specialist

Referral Coordinator -AdventHealth Primary Care

All the benefits and perks you need for you and your family:

• Benefits from Day One

• Paid Days Off from Day One

• Student Loan Repayment Program

• 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.

Shift: Monday - Friday 8AM-5PM

Location: 410 Celebration Place, Suite 103 Celebration, FL 34747

The role you'll contribute:

The Referral Specialist is responsible to facilitate and coordinate patient care within the practice and act as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. The Referral Specialist will assist patients in meeting their insurance and clinical requirements to aid in speed of physicians orders. Individual is responsible for assisting with front office operations including but not limited to scheduling, insurance verification and authorization, and maintains positive relationships with physician offices, patients, insurance companies, 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:

• Maintains an effective operational flow by communicating patients' status to appropriate team members and keeping patient apprised by collaboration with the Physician, APPs, and Practice Manager.

• Provides education as necessary to patient regarding test locations, patient portal use, and follow-up (non-clinical) actions.

• Ensures cash control by collecting, processing, and balancing funds in the practice's designated system and documents properly per guidelines.

• Documents appropriately within the office's designated system to ensure regulatory requirements are met.

• Ensures pre-certification and verification of benefits has been obtained and clearly documented on all required exams prior to procedure.

• Determine eligibility for office visits. Search for providers that are in-network with patient's insurance if not in- network with current referring provider while also maintaining network integrity.

• Works referral in basket messages for incoming referral requests that need authorizations, referrals, and appointments.

• Closes the loop by attaching specialist consult notes to patient chart and sending them to provider to address while linking referral orders to appointments.

• Communicates accurate information to patients and families and other providers and service representatives in the community to build trust and shared expectations for referrals.

Qualifications
Qualifications - External

The expertise and experiences you'll need to succeed :

Minimum qualifications :

• Associate's Degree and 2+ years of Receptionist experience
• Or 5+ years of Receptionist experience in a healthcare setting

• Preferred qualifications:

• Diagnosis coding, medical billing, and payor portal experience

• Knowledge of HIPAA requirements regarding patient confidentiality

• Accurate typing and data entry skills

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