Referral Coordinator

7 days ago


Lancaster, Pennsylvania, United States Penn Medicine Lancaster General Health Full time
Job Summary

We are seeking a highly organized and detail-oriented Referral Coordinator to join our team at Penn Medicine Lancaster General Health. As a Referral Coordinator, you will play a critical role in planning, organizing, directing, and coordinating all aspects of the referral office.

Key Responsibilities
  • Coordinate and monitor daily work flow processes and activities to ensure timely referral/insurance deadlines are met.
  • Review and analyze managed care patient visits to ensure proper documentation of required services.
  • Coordinate internal functions and recordkeeping related to managed care organizations to meet compliance.
  • Liaise between patients and insurance companies to explain required documentation and ensure referral/authorization compliance.
  • Organize in-service programs for staff regarding referral/insurance process changes and updates.
  • Collaborate with internal/external LG staff, other physician offices, and outside agencies to resolve patient questions and complaints regarding referral/insurance issues.
Requirements
  • 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 insurance
Preferred Qualifications
  • One (1) year of using medical terminology
  • One (1) year experience completing medical prior authorizations
Physical Requirements

This role requires sitting, standing, and walking frequently, with occasional bending, pushing, and pulling. The degree of physical exertion is light, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to move objects.

Working Conditions

This role is performed in a fast-paced office environment with minimal exposure to hazardous conditions or materials.



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