Referral Coordinator - Florida, United States - Banyan Health Systems
Description
Banyan Health Systems has been serving Miami-Dade and Broward Counties since 1970. We provide quality, individualized care to each of our patients. Our system of integrated health services brings together specialized psychiatric care, primary care, pediatrics, geriatrics, and an extensive program of residential and outpatient substance abuse & behavioral health services under one umbrella. At Banyan Health Systems, we believe when individuals are healthy and strong, our communities are better for it.
We are currently looking for individuals who share our mission of integrating primary and behavioral health care while providing access to all individuals. We focus on providing quality and compassionate care in order to assist our patients in living their best life. We are dedicated to the endless pursuit of excellence and treat everyone with dignity, humanity, and respect.
If you share these beliefs and want to join us to make a difference, please take some time to read the post below.
Referral Coordinator -JOB SUMMARY:
A certified multi-skilled professional dedicated in assisting all aspects of medical practice under the direct supervision and responsibility of the office manager and physician. Understanding the importance of patient care management, administration and clinical procedures are key elements of success. Competence in the field also requires that a medical assistant adhere to ethical and legal standards of professional practice.
ESSENTIAL FUNCTIONS:
1. Processes all referrals according to level of priority and organizational policy.
2. Sustains a tracking log to ensure all referrals are processed and corresponding results
received in accordance to priority and organizational policy.
3. Answers telephonic or verbal inquiries on insurance matters in a prompt and courteous
manner.
4. Maintains the access to managed care portals for continuous organizational usage.
5. Openly communicates on authorization issues with the Operations Manager and medical
staff. Advises the aforementioned parties on the requirements for completing a referral in a
manner conducive to policy and medical necessity.
6. Data enters the progress and completion of all referrals in the practice office management
information system).
7. Ensures all referrals contain the necessary elements for processing with third party payers,
which includes but not limited to specified forms, supporting diagnostic and/or consultative
notes, signature of the physician, and corresponding procedural and diagnostic codes.
8. Checks at least a day in advance the third party coverage, eligibility, and copayments of all
scheduled patients and data enters any changes in POMIS as well as informing relevant
staff and affected patients.
EDUCATION AND/OR EXPERIENCE:
Post high school clerical/secretarial education or any combination of related education and/or experience in which comparable knowledge can be inquired; types 45 wpm; word/data processing experience.
LANGUAGE SKILLS: Ability to read, write and speak in English and Spanish. Must be able to read and comprehend simple instructions, short correspondence, and memorandums. Agility to effectively communicate information both orally and written on one-to-one and small group situations to clients and other employees.
Banyan Health Systems provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.