Referral Coordinator I

Unit/department/service line: Referral Center
Status: Full Time
Schedule: Monday - Friday 8:00am - 4:30pm
Weekend Requirement: None
Holiday Requirement: None
Call Requirement: None

General Summary

Performs a variety of support functions for each assigned practice including, but not limited to, scheduling, insurance verification, obtaining authorizations and referrals and record management.

Responsibilities

Duties and Responsibilities

Essential Functions:

• Schedules patient appointments with specialty providers including correct processing of necessary referral forms and transfer of patient information.
• Ensures patient confidentiality.
• Manages the insurance referral process according to policy. Keeps staff current on changes.
• Reviews patient insurance to obtain authorizations for diagnostic testing, genetic labs, DME and medications.
• Provides insurance company with clinical information necessary to secure authorizations.
• Communicates with clinical team when authorization is unable to be obtained.
• Maintains referral record in electronic medical record.

Common Expectations:

• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation
• Establishes and maintains files and records on an ongoing basis.
• Opens and routes incoming mail; distributes correspondence and other material to staff.

Qualifications

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• 1 year Medical insurance experience or experience obtaining authorizations and referrals from insurance companies. Required
• Medical front office experience. Preferred

Courses and Training:

• Medical terminology. within 180 days Required

Benefits Offered:

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)