Referral Specialist - Jewett Orthopedic Institute, Horizon West

Orlando Health

Posted 3 months ago

Full Time

Winter Garden, Florida

In Person

Smart Summary

Responsibilities

The Referral Specialist manages the referral and insurance authorization process for new patients, diagnostic testing, and hospital admissions. They are responsible for verifying financial information and updating billing systems to ensure continuity of care.

Qualifications

You have a high school education or equivalent and at least one year of experience in retail, customer service, or healthcare. Your responsibilities include managing patient referrals, verifying insurance, and completing registrations to ensure seamless patient care coordination.

Must Have Skills for ATS

patient registration

insurance authorization

billing systems

Job Description


Position Summary

One of the region’s largest orthopedic and sports medicine providers, Orlando Health Jewett Orthopedic Institute’s world-class team of orthopedic surgeons and sports medicine physicians specialize in conditions and injuries of the spine, hand, upper extremities, foot, ankle and lower extremities, as well as joint replacement, concussions, interventional pain management, bone health and orthopedic trauma. The institute’s Downtown Complex brings the whole spectrum of orthopedic and spine care under one roof and includes an orthopedic specialty hospital featuring 75 private inpatient rooms, 10 advanced OR suites, and a research and innovation center with a bio skills lab and 3D printer. Institute physicians also lead a robust clinical research and education program. An adjacent medical pavilion houses a 63-exam-room outpatient clinic, imaging suite, physical therapy spaces and ambulatory surgery center. The institute also holds official medical roles with multiple athletic teams, sporting events and venues. In its first year of eligibility, the institute has been recognized for its positive workplace culture with Modern Healthcare’s Best Places to Work award.

🔗  Click here to learn more about Orlando Health Jewett Orthopedic Institute

💼 Position Overview:

The Referral Specialist plays a critical role in supporting the coordination and continuity of patient care by managing the referral and insurance authorization processes for new patients, diagnostic testing, and hospital admissions. This position is responsible for completing patient registration, verifying financial and insurance information, and updating billing systems accordingly to ensure seamless service delivery.


Responsibilities

  • Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital admissions.
  • Ensures financial information and insurance has been verified.
  • Updates patient insurance information in billing systems as needed
  • Initiates the referral and authorization process for all services and visits.
  • Works closely with nursing and medical staff to facilitate optimal patient care.
  • Communicates with the scheduling department to verify each patient’s insurance requirements have been satisfied for upcoming
    appointments.
  • Coordinates with other departments as needed to facilitate patient’s visit.
  • Provides patient with referral information for other physicians and facilities.
  • Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. in order to obtain the required authorization needed for each service.
  • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
  • Maintains compliance with all Orlando Health policies and procedures.

Qualifications

Education/Training

  • High school graduate or equivalent education.

Experience

  • One (1) year of retail, customer service or health care. 

Orlando Health

Orlando Health is a not-for-profit healthcare organization with $7.6 billion of assets under management that serves the southeastern United States. Headquartered in Orlando, Florida, the system was founded more than 100 years ago.
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