Referral Coordinator Team Lead- Referrals- Full-Time- Days

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Job description

Overview:
Description:

Under the direction of the appropriate Manager, supervises and coordinates day to day referral activities, operations and personal issues of the assigned referral staff. Acts as a liaison with staff, departments/clinics and patients. Job Requirement: Provides oversight of the daily referral operation for the department including participating in hiring, staffing, training, coaching and providing feedback. Ensures compliance of regulatory and organizational policies and procedures and recommends changes in department policies and procedures as identified. Assists with personnel and payroll functions, and provides daily support with Kronos to ensure time is effectively managed. Works closely with the Manager in effective scheduling of staff and workflow to provide optimum coverage with available resources to meet department goals relating to production and quality. Ensures appropriate budgetary standards are implemented and maintained for labor and supplies. Supports the work of the manager by answering inquiries, providing information and resolving complaints from patients or other internal or external departments as it relates to referrals. Reviews referrals and authorization requirements to assure compliance with health plans. Monitors managed care referral process to ensure accurate and consistent process/results. Reviews pending referrals daily to ensure timely completion. Responsible for proficiently tracking and recording reports in the referral system. Supports the objectives and goals of the referral team by functioning as a referral coordinator. Provides a standard of excellence as it relates to customer services for patients, staff and other customers. Participates as an active care team member in the coordination of patient care.

Qualifications:
Qualification:

2 years - Experience working as a Referral Coordinator in an Ambulatory clinic - required2 years -Thorough knowledge of insurance- HMO's, Medicare, Medicaid, PPO, POS and third-party payors - required2 year - Thorough knowledge and understanding of HIPAA, Medical Necessity Software, Scheduling/Registration systems and insurance web portals. - required

Education: High School Diploma - required Supervises: Up to 30 referral coordinators Additional Duties Additional duties as assigned may vary based on department

UFJPI is An Equal Opportunity Employer and Drug Free Workplace

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