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Referral Management Coordinator

Job not on LinkedIn

🔥 4 minutes ago

🇺🇸 United States – Remote

đź’µ $18 - $24 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Logo of Franciscan Health

Franciscan Health

10,000+ employees

Founded 1875

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Franciscan Health is a healthcare organization committed to providing high-quality medical care grounded in the Franciscan tradition. They offer a range of medical services, including clinical and allied health, home health and hospice, nursing, physicians and advanced practice providers, and non-clinical and administrative roles. With a focus on embracing the values of St. Francis to care for those in need, they provide a supportive and fulfilling work environment for their employees, emphasizing a mission of compassion and community engagement. Franciscan Health is dedicated to offering a variety of employment opportunities across different medical specialties and locations.

đź“‹ Description

• Process internal, incoming, and external referrals for all ambulatory services • Follow and utilize current standardized referral policies and workflows • Prioritize referrals by urgency and address them in a timely manner • Ensure complete demographic, insurance, and pertinent clinical information is sent to referred specialists • Contact insurance companies to ensure prior approval requirements are met • Present medical history, diagnosis, and prognosis to insurance companies when necessary to establish medical necessity • Review referral details and expectations with ordering providers and patients • Discuss patient responsibility for copayments, prepayments, and outstanding balances

🎯 Requirements

• High School Diploma/GED required • 2 years medical referrals, healthcare, and/or prior authorization required • Ability to obtain prior authorizations • Ability to schedule patients and handle inbound and outbound phone calls • Travel is never or rarely required

🏖️ Benefits

• Comprehensive benefit offerings for eligible employees

Apply Now

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