Referral Coordinator, Primary Care Outer Loop, 8a-430p

Primary Location:

FPA - North (Outer) - ULP - CMG

Address:

5100 Outer Loop Louisville KY 40202

Shift:

First Shift (United States of America)

Job Description Summary:

UofL Health is a fully integrated regional academic health system with five hospitals four medical centers nearly 200 physician practice locations more than 700 providers the Frazier Rehab Institute and Brown Cancer Center.
With more than 12000 team membersphysicians surgeons nurses pharmacists and other highly skilled health care professionalsUofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description:

The Referral Coordinator works with patients requiring a referral to ensure patients referral needs are fulfilled for specialty service office visits and diagnostic imaging. Responsibilities include: processing referrals authorizations and pre-certifications for patients to ensure timely reimbursement; scheduling; and notifying patients of upcoming appointments.

Essential Functions:

• Gathers verifies and processes referrals authorizations and pre-certifications by working closely with physician(s) patients and payers

• Communicates detailed information and answers patients questions regarding their health care plan; provide answers to billing and insurance clarification questions

• Sets up appointments coordinate clinic visits and any special arrangements such as transportation interpreter services specialty care etc.

• Coordinates flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient

• Enters referrals documents communication and action into the system as appropriate

• Notifies physician(s) and patient when referral is denied or if additional information is needed

• Develops and maintains database of referral physician offices preferred by each physician within the clinic

• Assists Practice Manager with complaint resolution and solutions related to patient referral

Shift Requirements:

Shift Length (in hours): 8 hours

# Shifts/Week: 5

Overtime Required: Infrequently Sometimes Often n/a (exempt position)

Other Functions:

• Promptly and professionally answers telephones calls

• Fulfills clerical responsibilities as assigned

• Maintains compliance with all company policies procedures and standards of conduct

• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times

• Performs other duties as assigned

Additional Job Description:

Education:

• High school diploma or equivalent (required)

Experience:

• Minimum one (1) year of working in a medical facility with knowledge of health care field and medical office protocols/procedures (preferred)

Required Experience:

IC