Referral Coordinator I
WellSpan Health
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- Location
- York, PA
- Work style
- On-site
- Job type
- Full time
- Posted
- Nov 5
- Today
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Career path
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About the company
WellSpan Health
Hospital & health care · 10,001+ employees
What you'll do
- Schedule patient appointments with specialty providers and process referral forms
- Ensure patient confidentiality
- Manage the insurance referral process according to policy and keep staff current on changes
- Review patient insurance to obtain authorizations
- Provide insurance companies with clinical information necessary to secure authorizations
- Communicate with the clinical team when authorization cannot be obtained
- Maintain referral records in the electronic medical record
- Establish and maintain files and records
What you need
- High School Diploma or GED Required
- 1 year Medical insurance experience or experience obtaining authorizations and referrals from insurance companies. Required
- Medical front office experience. Preferred
- Medical terminology. within 180 days Required
- Comprehensive health benefits
- Retirement savings plan
- Paid time off (PTO)
- Education assistance
- Financial education and support, including DailyPay
- Expanded Paid Parental Leave
- Education: a high school diploma
Key skills
Medical terminologyMedical insurance experienceObtaining authorizations and referralsMedical front office experience
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Perks
- Comprehensive health benefits
- Retirement savings plan
- Paid time off (PTO)
- Education assistance
- Financial education and support
- Expanded Paid Parental Leave
See full description on company page, apply now
Read the full posting here
Unit/department/service line: Referral Center
Status: Full Time
Schedule: Monday - Friday 8:00am - 4:30pm
Weekend Requirement: None
Holiday Requirement: None
Call Requirement: None
General Summary
Performs a variety of support functions for each assigned practice including, but not limited to, scheduling, insurance verification, obtaining authorizations and referrals and record management.
Qualifications
Minimum Education:
High School Diploma or GED Required
Work Experience:
1 year Medical insurance experience or experience obtaining authorizations and referrals from insurance companies. Required
Medical front office experience. Preferred
Courses and Training:
Medical terminology. within 180 days Required
Benefits Offered:
Comprehensive health benefits
Retirement savings plan
Paid time off (PTO)
Education assistance
Financial education and support, including DailyPay
Expanded Paid Parental Leave
For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)
Duties and Responsibilities
Essential Functions:
Schedules patient appointments with specialty providers including correct processing of necessary referral forms and transfer of patient information.
Ensures patient confidentiality.
Manages the insurance referral process according to policy. Keeps staff current on changes.
Reviews patient insurance to obtain authorizations for diagnostic testing, genetic labs, DME and medications.
Provides insurance company with clinical information necessary to secure authorizations.
Communicates with clinical team when authorization is unable to be obtained.
Maintains referral record in electronic medical record.
Common Expectations:
Maintains established policies and procedures, objectives, quality assessment and safety standards.
Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation
Establishes and maintains files and records on an ongoing basis.
Opens and routes incoming mail; distributes correspondence and other material to staff.