Referral Coordinator - Jacksonville, United States - LEVENSON EYE ASSOCIATES

    LEVENSON EYE ASSOCIATES
    LEVENSON EYE ASSOCIATES Jacksonville, United States

    3 weeks ago

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    Job Description

    Job DescriptionBenefits:
    • AFLAC Supplemental Benefits
    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee discounts
    • Health insurance
    • Opportunity for advancement
    • Paid time off
    • Training & development

    Levenson Eye Associates is a multisite ophthalmology practice with locations throughout the Jacksonville metropolitan area. We provide the highest quality care to our patients and improve the health and well-being of the communities we serve. Through the conscientious efforts of our dedicated staff, we seek to meet the medical needs of our patients in a caring and empathetic manner. We are a growing practice with physicians that share a combined amount of over 150 years of experience in the ophthalmic medical field. We are currently seeking ambitious, self-motivated, like-minded individuals who are ready to put patient care first and be a part of a growing team.

    Position Summary:
    The Referral Coordinator will be responsible to coordinate and manage patient referrals from various sources, schedule appointments as appropriate and within required timeframes and assure referrals are maintained within appropriate network and/or payer requirement.

    Location: This position is located onsite at our Mandarin office: 3020 Hartley Rd., #190, Jacksonville, FL 32257
    Schedule: Monday through Friday, 9:00 am to 5:30 pm. (Times may vary)

    Job Description/Essential Functions:
    Coordinate and manage patient referrals from various sources
    Maintain accurate and up-to-date records of referrals and related documentation
    Help patients navigate through their health care needs by assisting with referrals, insurance authorizations, scheduling appointments, and answering questions.
    Confirm insurance coverage via payer portals and determine necessity for preauthorization.
    Obtain authorization and process referrals for services ordered by providers.
    Schedule appointments as appropriate and within required timeframes and ensure referrals are maintained within appropriate network and/or payer requirement.
    Communicate with patients, healthcare providers, and third-party service providers regarding insurance coverage and barriers to care.
    Document detailed information in the patient medical record and any actions taken regarding authorization status, coverage issues, restrictions and appointment details.
    Remain current on referral policies and procedures, payer requirements, managed care matrix, portals and determine financial responsibility for services to be provided.

    Experience/Skills:
    High School diploma or equivalent
    Minimum of experience in a fast-paced medical office
    Excellent conflict management skills
    Basic knowledge of the different health insurances.
    Familiarity with medical and insurance terminology
    Proficiency with basic computer programs (Microsoft 365)
    Demonstrated success in handling complex patient concerns
    Strong communication skills (verbal and written) and critical problem-solving skills
    Take the initiative to learn and advance in a fast paced medical office
    Must be dependable, self-motivating, and multi-tasking and possess excellent active listening skills.
    Empathetic to patient's needs.
    Computer literacy of 45wpm.

    EEOC Compliance: We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identify, national origin, veteran or disability status.