Home / Referral Coordinator- Manheim Family Medicine (40 hours/week, 1st shift)

Referral Coordinator- Manheim Family Medicine (40 hours/week, 1st shift)


Company

Lancaster General Medical Grp

Cost Center

61060 Manheim Family Medicine

Supervisory Organization

Referral Office - North

Grade

G07

Summary

40 hours/week. Hours Monday through Friday between 8 am and 5 pm. No weekends.

ATTENTION

If you are an external applicant, you may need to complete an online assessment as part of the hiring process. We will send the assessment to the e-mail address that you included on your application. Please also check your junk/spam e-mail folder and complete the assessment within 5 days of receiving it. For more information, please click https://www.lghealthjobs.org/FAQS

POSITION SUMMARY: Plans, organizes, directs and coordinates all aspects of the referral office.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

  • Coordinates and monitors daily work flow processes and activities for meeting required referral/insurance deadlines (within 72 hours/or as directed by provider – e.g., Stat/emergent).
  • Daily reviews and monitors referral work que in order to provide accurate and timely referral process documentation.
  • Serves as the first-line resource for all customers (internal/external) with regards to Insurance and Referrals.  Must be knowledgeable in all areas of insurance verification and authorization/referral processes.
  • Maintain accurate and current referral log on all patients.
  • Serve as liaison for patient with doctor offices with regards to processing referrals.  Communication may be via fax/telephone/electronically.
  • Review and analyze managed care patient visits and ensure proper documentation of required services.
  • Coordinate internal functions and recordkeeping related to managed care organizations to meet compliance.
  • In collaboration with staff in LG Patient Financial Services, ascertain physician credentialing is current and required documentation on file.
  • Organizes in-service programs for staff regarding all referral/insurance process changes and updates.
  • Liaison between patient and insurance company to explain to patient what their insurance company requires to meet referral/authorization compliance.
  • Must have the ability to communicate in a positive, customer service manner when communicating with all customers or when using Department tools (i.e., telephone, fax, email, voice mail, etc.).
  • Exhibits teamwork and excellent customer service skills without exception, at all time for both internal and external customers.
  • Collaboratively works with internal/external LG staff, other physician offices, and outside agencies, to resolve patient questions and complaints regarding referral/insurance issues.

QUALIFICATIONS:

  • High school diploma or certificate
  • One (1) year of computer experience
  • One (1) year clerical or clinical experience in a medical practice setting
  • One (1) year experience in medical referral/insurance
  • One (1) year of using medical terminology preferred.
  • Basic keyboarding ability and telephone/interpersonal etiquette is required. Successful completion of customer service training module or commensurate experience with successful completion of related competency testing is also required

MANHEIMFHC Full Time Posted on 09/13/2019