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

Role Description

The Referral Management Specialist is an important role for processing internal, incoming, and external referrals for all ambulatory services. In this role you will:

• Obtain prior authorizations
• Schedule patients
• Work inbound and outbound phone calls
• Engage in conversations with patients on their responsibilities for copayment, prepayment, and any outstanding balance

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

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 .