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Referral Coordinator

Jacksonville, FL 32206

Post Date: 06/21/2018 Job ID: 6202 Industry: Admin Pay Rate: $18.00 - $20.00

Title: Referral Coordinator

Pay: $13.50 - $20.50/hour depending on experience

Location: Downtown Jacksonville (32206)

Schedule: Monday - Friday 8: 00am - 4: 00pm

Agility Staffing is seeking a Referral Coordinator for a world renowned cancer treatment center located in downtown Jacksonville, FL.

  • Functions as a liaison between patients/guarantors, third party health carriers, insurance benefit specialists, referring physicians (or their representatives) and other departments to coordinate all aspects of the Insurance approval process and patient advocacy issues.
  • Requests, monitors and obtains insurance approval for initial treatment, pre/post testing and follow-up care for services requested by Providers within established guidelines.
  • Processes requests using guidelines based on the disease site and specific handling procedures required for pediatric patients and patients requiring stat treatment.
  • Acts as highly effective resource to patients and providers as well as internal staff and external contacts.
  • Communicates expeditiously to all involved parties necessary in coordinating medical care to promote a standard of excellence in quality service and increased satisfaction.
  • Documents all patient medical/demographics, insurance, financial, patient and payor communication information according to established departmental guidelines.
  • Identifies, pursues and maintains referral source networks; meets with departments and attends referral meetings to stay abreast of changes in the referral process

  • Prior experience with obtaining authorizations and pre-certifications from insurance plans required.
  • Prior experience with inputting data into computer systems and reviewing patient demographic material required.
  • Two to five years clerical/customer service experience in a healthcare facility required.
  • Prior experience working with ICD-9 and CPT coding preferred.
  • Two to five years experience required with third party payors in insurance verification, network benefits, contract review and negotiation requests.
  • One to two years experience in processing referrals required.

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