Referral Coordinator

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InnovaCare Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

💰 Venture Round on 2019-01

Healthcare Insurance

InnovaCare Health is a healthcare provider offering high-quality senior healthcare services through a network of practices and providers across central and northern Florida. By understanding the unique health needs of their patients, they empower individuals to take control of their healthcare and live healthier lives. InnovaCare Health provides a variety of services, including transportation, diagnostic testing, telehealth, primary care, and specialized in-house services such as gynecology, nephrology, and cardiology. Their facilities also feature senior centers focused on social, physical, emotional, and intellectual needs, and offer comprehensive care coordination, ultrasound, and medical screening programs for early disease detection. With 24/7 on-call physicians and a commitment to community engagement, InnovaCare Health is dedicated to ensuring convenient and accessible care for all patients.

📋 Description

• Performs a wide range of administrative duties to include referral processing, patient registration. • Verification of benefits and insurance authorizations. • Patient appointment scheduling and communication with referral sources. • Maintains ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. • Ensures complete and accurate registration, including patient demographic and current insurance information. • Assembles information concerning patient's clinical background and referral needs. • Provides appropriate clinical information to specialist based on referral guidelines. • Contacts review organizations and insurance companies to ensure prior approval requirements are met. • Presents necessary medical information such as history, diagnosis, and prognosis. • Provides specific medical information to financial services as appropriate to process referral. • Reviews details and expectations about the referral with patients. • Assists patients in problem solving potential issues related to the health care system, financial or social barriers. • Acts as a system navigator and point of contact for patients and individuals who have consent and direct access to patient information.

🎯 Requirements

• High school diploma or GED equivalent. • Strong customer service focus. • Effective written and oral communication skills. • Teamwork orientation. • Organized and ability to manage competing priorities. • Knowledge of medical terminology. • Knowledge of ICD-10 and CPT coding. • Expert in computer literacy in electronic health record. • Ability to react calmly and effectively in emergency situations required. • Basic mathematical skills. • Safe work practices in a clinic setting. • Able to follow through with delegated tasks. • At least 5 years in a medical related customer service role preferred. • Bilingual in English/Spanish preferred but not required.

🏖️ Benefits

• Required immunizations and vaccinations. • Ability to lift to 50 pounds. • Ability to push or pull heavy objects using up to 100 pounds of force. • Ability to stand or sit for extended periods of time. • Ability to use fine motor skills to operate equipment and/or machinery. • Ability to properly drive and operate a vehicle. • Occasional travel for clinic activities may be required (ex. InnovaCare meetings or training).