Referral Coordinator I - Rheumatology - Mon-Fri - St. Petersburg FL at Bayfront Health

St. Petersburg, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Jun, 26

Salary

0.0

Posted On

16 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Referral Management, Authorization Processing, EHR Systems, Registration, Insurance Verification, Follow-up Coordination, Payer Guidelines, ICD-10, CPT Codes, Third-Party Reimbursement, Customer Service, Medical Terminology, Fax Transcription, Scheduling Coordination

Industry

Hospitals and Health Care

Description

Position Summary Job Overview: Title: Referral Coordinator IDepartment: Rheumatology - Bayfront Health Medical Group Location: St. Petersburg, FL Position Type: Full-Time Schedule: Mon-Fri | Days | 40 hours 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. This is a new Rheumatology location. Team member will have to travel to Zephyrhills Rheumatology location for training. About the Organization: Bayfront Medical Group is part of the Orlando Health system of care, which includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida’s east to west coasts, Central Alabama and Puerto Rico. As part of Orlando Health’s extensive network of comprehensive healthcare services, Bayfront Medical Group is committed to providing easy access to integrated care. Our expansive range of practices offer multiple community locations and convenient appointment options, ensuring patients have seamless access to high‑quality, comprehensive care.Orlando Health is one of Florida’s most respected healthcare systems, known for our unwavering commitment to excellence, patient care, and employee satisfaction. Collectively, our dedicated teams honor a legacy of over 100 years by providing professional and compassionate care to the patients, families and communities we serve.As part of the Bayfront Medical Group, you’ll join a nationally recognized organization that values your work, supports your growth, and provides competitive benefits starting your very first day. Our benefits go beyond the expected, with FREE career-growing education programs, and well-being services to support you and your family through every stage of life. We believe our team is our greatest strength, which is why we offer a culture rooted in compassion, teamwork and flexibility - 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.Why Orlando Health is your best place to work: ✔ Education & Career Growth Assistance ✔ Comprehensive Health & Wellness coverage and resources ✔ Financial & Retirement Planning with Company Match ✔ Excellent Company Culture and Work–Life Balance ✔ Family & Pet Support ..and more! Responsibilities Essential Functions: Completes entry of referrals and/or authorizations into EHR. Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital diagnostics. Coordinates follow-up care with the referral as the referral expires. Ensures financial information and insurance is current and active. Ensures Primary Care provider is accurate based on payer guidelines. Updates patient insurance information in EHR systems as needed. Transcribes faxed referral requests via On-Base fax system into EHR. Initiates the referral and authorization process for visits and services. Works closely with clinical teams to 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 of referral and authorization requirements based on payer specific 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 of registration systems, electronic verification tools and Web-based resources. Understands the importance Orlando Health places on providing exemplary customer service. Performs job in a manner that helps meet 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 participates in department staff meetings and other meetings as assigned. Responsible for maintaining performance measures as outlined by the department’s productivity guidelines. Qualifications Education/Training: High School Graduate 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.

Responsibilities

The Referral Coordinator manages the processing of internal and external referrals and authorizations for the Rheumatology department using the Electronic Health Record (EHR) system. This involves coordinating follow-up care, ensuring insurance information is current, and communicating with clinical teams and patients to facilitate necessary visits and services.