Referral Coordinator, OHMG Access Center, Downtown Orlando

Position Summary:
Orlando Health Medical Group is a comprehensive physician group serving patients from across the southeastern United States. With more than 200 practices and 1,200 physicians, Orlando Health Medical Group has a strong representation in over 55 specialties, including cardiology, vascular medicine, orthopedics, oncology, digestive health, neurology, neurosurgery, bariatric surgery, general surgery, bone marrow transplant and critical care medicine, as well as more than 30 pediatric subspecialties, women’s health, primary care and the largest hospitalist program in Florida.

Orlando Health Medical Group is part of the Orlando Health system of care, which includes 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities that span Florida’s east to west coasts and beyond. Collectively, we honor our 100-year legacy by providing care for more than 142,000 inpatient and 3.9 million outpatient visits each year.

Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.

 

Job Summary

The Referral Coordinator supports Clinical teams, Patients and Family Members by managing referrals and/or authorizations for the Medical Group. They are responsible for processing Internal and External referrals and authorizations from orders prescribed, by the provider, in the Electronic Health Record (EHR) system within the Outpatient Ambulatory setting.

 

Orlando Health Medical Group Patient Access Center 

 

Located in Downtown Orlando 

Responsibilities:
Essential Functions

• Completes entry ofreferrals and/or authorizationsinto EHR.
• Completesregistration and obtainsinsurance authorization for new patients, diagnostic testing and for hospital diagnostics.
• Coordinatesfollow-up care with the referral asthe referral expires.
• Ensuresfinancial information and insurance is current and active.
• Ensures Primary Care provider is accurate based on payer guidelines.
• Updates patientinsurance information in EHR systems as needed.
• Transcribesfaxed referral requests viaOn-Base fax system into EHR.
• Initiatesthe referral and authorization processfor visits and services.
• Works closely with clinical teamsto facilitate optimal patient care.
• Coordinates with scheduling departments, and other departments as needed to facilitate patient’s visit.
• Coordinates with Patients when necessary to complete referral.
• Provides patient with referral information for physicians and facilities.
• Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. to obtain the
required authorization needed for each visit or service.
• Maintains current knowledge ofreferral and authorization requirements based on payerspecific guidelines.
• Maintain working knowledge of ICD-10 and CPT codes.
• Demonstrates a basic knowledge of third-party reimbursement requirements and regulations.
• Exhibits competency in the use ofregistration systems, electronic verification tools and Web-based resources.
• Understands the importance Orlando Health places on providing exemplary customer service.
• Performsjob in a manner that helpsmeet customer service goals.
• Demonstrates a positive and professional approach and communicates effectively with customers and team members at all times.
• Maintains flexibility in work schedule availability that allows department to change/modify work schedule to meet departmental
needs.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal,
state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

• Attends and participatesin departmentstaff meetings and other meetings as assigned.
• Responsible for maintaining performancemeasures as outlined by the department’s productivity guidelines.

Qualifications:
Education/Training

High SchoolGraduate
Medical Terminology

 

Experience

• Two (2) years of directly related work experience preferred.
• Experience in processing physician office and/or hospital referrals Proficient in Computer usage.