FPG, Referral Coordinator : FT, Days

Job Opportunity At Firelands Health

Lifestyle : Sandusky is recognized as the "Best Coastal Small Town in America." You will enjoy living and working in this thriving area along the beautiful shores of Lake Erie.

Work / life : You will receive support to help you manage your personal life while building a career.

Employee-centric : Tuition reimbursement, loan forgiveness, comprehensive major medical, dental, and vision insurance, paid time off, 401(k), health and wellness offerings, monthly employee events, and more.

About Firelands Health : Our goal at Firelands Health is to be the best and preferred independent healthcare employer for the Sandusky Bay region. Firelands Health is the area's largest and most comprehensive resource for quality medical care. We are "big enough to care for you, and small enough to care about you". We are locally managed and governed as a not-for-profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents. Our mission is to provide excellent healthcare, promote community wellness, and improve the lives we serve. Our core values are : Attitude : We choose to be positive and inclusive every day. Commitment : We are committed to exceed the expectations of those we serve. Enthusiasm : We will work passionately to make a difference.

Position Summary : Responsible for performing a variety of duties including coordinating from start to finish internal and external referrals for FPG providers to ensure good continuity of care; obtaining any necessary prior authorizations for visits or procedures related to referrals; training new employees on relevant portions of the referral process and navigating necessary insurance websites; monitoring for accuracy of patient information, and monitoring for completion of the process; implementing special projects related to the referral and prior authorization process; verifying insurance coverage; obtaining pre-certifications or prior authorizations as needed. Assigned to administrative office but may need to assist in working at other practice sites.

What you will do :

• Interpersonal : Development and maintenance of effective relationships with medical and administrative staff, patients and families, co-workers, and the public. Ability to communicate effectively in writing and verbally with medical and administrative staff, patients and families, co-workers, and insurance companies. Skill in preparation and presentation of reports to management as requested. Ability to remain calm and poised in urgent situations.
• Critical Thinking : Skill in exercising initiative, judgment, problem solving, and decision making. Skill in analysis and interpretation of data, and preparation of reports. Skill in time management and organization. Ability to prioritize and meet deadlines to avoid crises management.
• Knowledge : Organization policies, procedures, systems, and objectives. Knowledgeable in medical office procedures and medical terminology with computer and cash handling experience. Governmental regulations and compliance requirements. Computer systems and applications.

What you will need :

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities