Banyan Health Systems has been serving Miami-Dade and Broward Counties since 1970. We provide quality, individualized care to each of our patients. Our system of integrated health services brings together specialized psychiatric care, primary care, pediatrics, geriatrics, and an extensive program of residential and outpatient substance abuse & behavioral health services under one umbrella. At Banyan Health Systems, we believe when individuals are healthy and strong, our communities are better for it.
We are currently looking for individuals who share our mission of integrating primary and behavioral health care while providing access to all individuals. We focus on providing quality and compassionate care in order to assist our patients in living their best life. We are dedicated to the endless pursuit of excellence and treat everyone with dignity, humanity, and respect.
If you share these beliefs and want to join us to make a difference, please take some time to read the post below.
A Referral Coordinator dedicated in assisting all aspects of medical practice under the direct supervision and responsibility of the office manager and physician. Understanding the importance of patient care management, administration and clinical procedures are key elements of success.
Essential Functions :
- Processes all referrals according to level of priority and organizational policy.
- Sustains a tracking log to ensure all referrals are processed and corresponding results received in accordance to priority and organizational policy.
- Answers telephonic or verbal inquiries on insurance matters in a prompt and courteous manner.
- Maintains the access to managed care portals for continuous organizational usage.
- Openly communicates on authorization issues with the Operations Manager and medical staff. Advises the aforementioned parties on the requirements for completing a referral in a manner conducive to policy and medical necessity.
- Data enters the progress and completion of all referrals in the practice office management information system (POMIS).
- Ensures all referrals contain the necessary elements for processing with third party payers, which includes but not limited to specified forms, supporting diagnostic and/or consultative notes, signature of the physician, and corresponding procedural and diagnostic codes.
- Checks at least a day in advance the third party coverage, eligibility, and copayments of all scheduled patients and data enters any changes in POMIS as well as informing relevant staff and affected patients.
- Orders and maintains supplies, forms and arranges for equipment maintenance.
- Performs other duties as assigned.
EDUCATION AND/OR EXPERIENCE: High School degree and/or 2 years experience in healthcare; types 45 wpm; word/data processing experience.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: Remote
