The Referral Management Coordinator is responsible for processing internal, incoming, and external referrals for all ambulatory services. This position will obtain prior authorizations, schedule patients, work inbound and outbound phone calls. PEAC Referral Management Specialists are responsible to engage in conversations with patients on their responsibilities for copayment, prepayment, and outstanding balance and engage in the POS collection process.
WHO WE ARE
Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.
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
TRAVEL IS REQUIRED:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
What We Do
The Franciscan Alliance healthcare ministry began in Lafayette, Ind., in 1875. Today, Franciscan Alliance is one of the largest Catholic health care systems in the Midwest with 12 hospital campuses in Indiana and Illinois, approximately 20,000 employees and a number of nationally recognized Centers of Health Care Excellence. Hospitals include: Franciscan Health Crown Point, Franciscan Health Michigan City, Franciscan Health Crawfordsville, Franciscan Health Lafayette East, Franciscan Health Indianapolis, Franciscan Health Carmel, Franciscan Health Rensselaer, Franciscan Health Mooresville, Franciscan Health Hammond, Franciscan Health Dyer, Franciscan Health Munster and Franciscan Beacon Hospital in Indiana; and Franciscan Health Olympia Fields in Illinois. For more information, visit FranciscanHealth.org. With more than 850 primary and specialty care providers at over 260 locations in Indiana and Illinois, Franciscan Physician Network is one of the largest and most respected multi-specialty physician networks in the Midwest providing convenient, comprehensive care
