• Attends Referral training class and various referral system training classes within 1st month of employment. Attends and actively listens and participates in the regularly scheduled Referral Coordinator meeting. Remains current on referral policies and procedures, payer requirements and Managed Care Matrix utilizing the various on-line resources.

• Processes referrals for services requested by Providers within established guidelines.

• Obtains authorizations for referrals and schedules appointments as appropriate and within required timeframes. Coordinates appointment date, time and location with patients.

• Processes requests for additional referrals/authorizations when requested by providers.

• Assures referrals are maintained within appropriate network or payer requirement.

• Communicates with all stakeholders, staff, providers, payers and patients as appropriate and per procedure.

• Documents required information into the appropriate systems.

• Provides a standard of excellence as it relates to customer service for patients, staff members, and other customers.

Skills, Knowledge, Abilities

• Knowledge of insurance plans and guidelines.

• Ability to obtain authorizations and pre-certifications from insurance plans.

• Ability to provide dynamic customer service using various techniques including positive language, calming presence, attentiveness, clear communication, and patience.

• Ability to manage multiple priorities and meet deadlines.

• Ability to communicate effectively and courteously, both orally and in writing.

• Ability to organize and prioritize assignments to work independently as well as a collaborative team member.

Experience Requirements

2 years Diagnosis and Procedural coding preferred

2 years Experience in the field or in a related area required

2 years Customer service required

2 years Third party payers (insurance carriers) using commonly

used concepts, practices and procedures in the field required

Education Requirements

High School Diploma or GED equivalent required

Certificate Medical Terminology preferred

UFJPI is an Equal Opportunity Employer