Referral Coordinator- Infusion

The Referral Coordinator position is responsible for coordinating all referral requests and following up on all necessary documentation, certification and authorization requirements. A key responsibility is using the automated managed care information system to process referrals.

Responsibilities

Collect all referrals from medical staff daily and obtain any necessary approvals from attendings; Work in all aspects of the referral process, including processing referrals for patients based on primary care physician orders and follow up specialist services recommended; Generate necessary correspondence or calls to patients, physicians and office staff, managed care organizations or vendors requesting additional information and requirements for referral authorization; Prepare correspondence, input referral information in the automated system, collect additional medical necessity supporting documentation and provide to appropriate parties for approval; Identify potential problems (i.e., labs, x-rays, procedures, and other physicians) with payment of charges from referral by communication with PHO and other managed care specialists

Requirements

H.S. diploma or G.E.D.; 3-4 years experience in a managed care organization, hospital or physician’s office with 1 year referral experience; Excellent medical terminology comprehension and its effective usage; Completion of 1 Medical Terminology class with certificate of completion; Ability to work independently; Ability to handle stress and high workload volumes; Ability to communicate denial of services to members and providers; Ability to lift up to 35 pounds without assistance

Benefits

Paid Time Off programs; Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability; Flexible Spending Accounts for eligible health care and dependent care expenses; Family benefits such as adoption assistance and paid parental leave; Defined contribution retirement plans with employer match and other financial wellness programs; Educational Assistance Program; Premium pay such as shift, on call, and more; Incentive pay for select positions; Opportunity for annual increases based on performance