Referral Management Coordinator at Franciscan Alliance, Inc.

, , United States -

Full Time

Start Date

Immediate

Expiry Date

22 Aug, 26

Salary

24.12

Posted On

24 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Referral Processing, Prior Authorization, Patient Scheduling, Medical Billing, Insurance Verification, Patient Communication, Clinical Documentation, Medical Necessity Review

Industry

Hospitals and Health Care

Description

Work From Home Work From Home Work From Home, Indiana 46544 The Referral Management Coordinator is responsible for processing internal, incoming, and external referrals for all ambulatory services. This position will obtain prior authorizations, schedule patients, work inbound and outbound phone calls. PEAC Referral Management Specialists are responsible to engage in conversations with patients on their responsibilities for copayment, prepayment, and outstanding balance and engage in the POS collection process. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Ensure current and standardized referral policies and workflows are followed and utilized on a regular basis. Prioritize referrals by their urgency and address them in a timely manner. Ensure complete demographic, insurance information, and appropriate/pertaining clinical information is sent to referred specialists. Contact insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove the medical necessity of services. Review details and expectations about the referral with ordering providers and patients. QUALIFICATIONS Required High School Diploma/GED 2 years Medical referrals, healthcare, and or prior authorization Required TRAVEL IS REQUIRED: Never or Rarely JOB RANGE: Referral Management Coordinator $18.55-$24.12 INCENTIVE: Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

Responsibilities

Responsible for processing internal and external referrals for ambulatory services, including obtaining prior authorizations and scheduling patients. The role also involves managing patient financial conversations regarding copayments and outstanding balances.