Referral Coordinator II

• 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. Other Related Functions

 Assumes responsibility for professional development and education.  Attends and participates in department staff meetings and other meetings as assigned  Responsible for maintaining performance measures as outlined by the department’s productivity guidelines.

• High school graduate
• Medical Terminology

• 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.