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Revenue Cycle Referral Coordinator

Role overview

Qualifications

  • Knowledge of eligibility/benefits verification
  • Experience with prior authorization requirements
  • Familiarity with financial clearance processes
  • Ability to work with patients and insurance companies

Responsibilities

  • Obtain authorizations and referrals for various appointment types
  • Adhere to department policies and procedures
  • Document the status of authorizations and referrals clearly
  • Escalate financial clearance issues to the supervisor

Key facts

Hard skills

Other skills

  • Communication
  • Teamwork
  • Problem Solving

About the company

Baptist Health logo

Baptist Health

Hospitals & Health Care

Company details

IndustryHospitals & Health Care
Company size10,001+

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Job description

About Baptist Health 
Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. 

The primary purpose of the referral coordinator is to work directly with patients, physician and physician teams, and insurance companies to obtain authorizations and/or referrals for physician, imaging services, rehabilitation, infusion therapy, radiation oncology, and surgery appointment types for both the physician and facility. This includes adherence to the department’s policies and procedures related to the verification of eligibility/benefits, prior authorization requirements, and other identified financial clearance related duties. Authorizations and referrals must be obtained in a timely manner and status of such must be clearly documented in the relevant systems. The referral coordinator is responsible for timely escalation of financial clearance issues to the supervisor. The referral coordinator should possess knowledge related to the field of assignment/support.

Primary Location:

Metro Square
3563 Philips Hwy
Jacksonville, FL 32207
United States of America

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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