[Hiring] Referral Management Coordinator @Franciscan Alliance, Inc.

Role Description

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, and work inbound and outbound phone calls. PEAC Referral Management Specialists are responsible for engaging in conversations with patients regarding their responsibilities for copayment, prepayment, and outstanding balances, and for engaging in the POS collection process.

• 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 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

Requirements

• Travel is required: Never or Rarely
• Job Range: Referral Management Coordinator $18.55-$24.12
• Incentive: Not Applicable

Benefits

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

Company Description

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.