SlideShare a Scribd company logo
1 of 2
511 Union Street Suite 1800 Nashville,TN 37219 (615)777-8201 FAX (615)234-3504
DSI Renal Services
Job Description
Job Title: Referral Coordinator
Reports to: Patient Intake Director
FLSA status: Non-Exempt
SUMMARY: Ensures the timely retrieval of insurance authorizations to avoid collection
denials.
ESSENTIAL DUTIES AND RESPONISBILITIES: include the following. Other duties may be
assigned.
 Obtains subsequent insurance authorizations and referrals as required.
 Obtains all retro authorization/referrals not obtained due to transition
 Appeals all denied authorization/referral request.
 Maintains authorization report/exceptions.
 Researches and, if necessary, appeals authorization/referrals.
 Maintains and updates list of insurance companies that require authorizations/referrals
with contact information.
 Provides back up to Patient Account Representatives.
Supervisory Responsibilities
This position has no supervisory responsibilities.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty
satisfactorily. The requirements listed below are representative of the knowledge, skill and/or
ability required. Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
Education and/or Experience
 High School diploma required.
 Associate Degree preferred.
511 Union Street Suite 1800 Nashville,TN 37219 (615)777-8201 FAX (615)234-3504
 Minimum of 6 months experience in patient registration in hospital or medical setting
preferred.
 Exceptional interpersonal skills.
 Excellent organizational and time management skills.
 Knowledge of medical terminology.
 Knowledge of various health insurance programs.
 Knowledge in the medical insurance industry required.
 Excellent computer skills to include the internet, outlook, excel and word.
 Job requires research and exceptional organizational skills to manage a large patient load.
Certificates, Licenses, Registrations
None required
Language Skills
 Ability to read, analyze and interpret general health care and/or business periodicals,
professional journals and governmental regulations.
 Ability to create reports and write business correspondence.
 Ability to effectively present information and respond to questions from patients,
physicians, billing, insurance companies and the general public.
Mathematical Skills
 Ability to add, subtract, multiply and divide in all units of measure, using whole numbers,
common fractions and decimals.
 Ability to compute rate, ratio and percentages.
Reasoning Ability
 Ability to define problems, collect data, establish facts and draw valid conclusions.
 Ability to deal with several abstracts and concrete variables.
Physical Demands
The physical demands described here are representative of those that must be met by an
employee to successfully perform the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential
functions.
While performing the duties of this job, an employee is required to stand, sit, talk and hear. The
employee is required to walk, reach with hands and arms, climb or balance, bend, stoop, kneel
and crouch. The employee is occasionally required to lift up to 25 pounds.

More Related Content

What's hot

Andrew Lawrence Resume 2015
Andrew Lawrence Resume 2015Andrew Lawrence Resume 2015
Andrew Lawrence Resume 2015Andrew Lawrence
 
Amanda M Ray 2017
Amanda M Ray 2017Amanda M Ray 2017
Amanda M Ray 2017Amanda Dunn
 
Richard T Kloser Resume2
Richard T Kloser Resume2Richard T Kloser Resume2
Richard T Kloser Resume2Richard Kloser
 
Phyllis D. Franke Resume
Phyllis D. Franke ResumePhyllis D. Franke Resume
Phyllis D. Franke ResumePhyllis Franke
 
Who will hire me
Who will hire meWho will hire me
Who will hire mejlo2525
 
598251 Rose Resume
598251 Rose Resume598251 Rose Resume
598251 Rose ResumeMelinda Rose
 
Updated Resume 2015 2
Updated Resume 2015 2Updated Resume 2015 2
Updated Resume 2015 2Sue Woodard
 
Health care delivery system
Health care delivery systemHealth care delivery system
Health care delivery systemMegan Gomez
 
Angie's Resume' 2015
Angie's Resume' 2015Angie's Resume' 2015
Angie's Resume' 2015Angie Beard
 
HEATHER LARSON Resume 2016 2
HEATHER LARSON Resume 2016 2HEATHER LARSON Resume 2016 2
HEATHER LARSON Resume 2016 2Heather Larson
 
DALE BENTLEY II resume.doc2
DALE BENTLEY II resume.doc2DALE BENTLEY II resume.doc2
DALE BENTLEY II resume.doc2D'marco Bentley
 

What's hot (18)

Nawal Resume
Nawal ResumeNawal Resume
Nawal Resume
 
Andrew Lawrence Resume 2015
Andrew Lawrence Resume 2015Andrew Lawrence Resume 2015
Andrew Lawrence Resume 2015
 
Amanda M Ray 2017
Amanda M Ray 2017Amanda M Ray 2017
Amanda M Ray 2017
 
Richard T Kloser Resume2
Richard T Kloser Resume2Richard T Kloser Resume2
Richard T Kloser Resume2
 
Phyllis D. Franke Resume
Phyllis D. Franke ResumePhyllis D. Franke Resume
Phyllis D. Franke Resume
 
SLGAdmin Asst2
SLGAdmin Asst2SLGAdmin Asst2
SLGAdmin Asst2
 
Karima Sweeney resume
Karima Sweeney resumeKarima Sweeney resume
Karima Sweeney resume
 
Who will hire me
Who will hire meWho will hire me
Who will hire me
 
Tanya M. Newbold
Tanya M. Newbold Tanya M. Newbold
Tanya M. Newbold
 
598251 Rose Resume
598251 Rose Resume598251 Rose Resume
598251 Rose Resume
 
Updated Resume 2015 2
Updated Resume 2015 2Updated Resume 2015 2
Updated Resume 2015 2
 
Jennifer resume
Jennifer resumeJennifer resume
Jennifer resume
 
Health care delivery system
Health care delivery systemHealth care delivery system
Health care delivery system
 
Vanesa diaz
Vanesa diazVanesa diaz
Vanesa diaz
 
Ms. Pulliam Resume 2017
Ms. Pulliam Resume 2017Ms. Pulliam Resume 2017
Ms. Pulliam Resume 2017
 
Angie's Resume' 2015
Angie's Resume' 2015Angie's Resume' 2015
Angie's Resume' 2015
 
HEATHER LARSON Resume 2016 2
HEATHER LARSON Resume 2016 2HEATHER LARSON Resume 2016 2
HEATHER LARSON Resume 2016 2
 
DALE BENTLEY II resume.doc2
DALE BENTLEY II resume.doc2DALE BENTLEY II resume.doc2
DALE BENTLEY II resume.doc2
 

Similar to Referral Coordinator Job Description

Customer_Services_Representative
Customer_Services_RepresentativeCustomer_Services_Representative
Customer_Services_RepresentativeBrandi Collins
 
Credentialing_Specialist
Credentialing_SpecialistCredentialing_Specialist
Credentialing_SpecialistBrandi Collins
 
Roles and responsibilities scorecard cssr sample
Roles and responsibilities   scorecard cssr sampleRoles and responsibilities   scorecard cssr sample
Roles and responsibilities scorecard cssr sampleGail M. Riegelmayer
 
A Learn Guide for Aspiring Patient Service Representative.pdf
A Learn Guide for Aspiring Patient Service Representative.pdfA Learn Guide for Aspiring Patient Service Representative.pdf
A Learn Guide for Aspiring Patient Service Representative.pdfCareervira
 
Member Service Representative 2015
Member Service Representative 2015Member Service Representative 2015
Member Service Representative 2015Heather Word
 
Sr. Director Human Resources
Sr. Director Human ResourcesSr. Director Human Resources
Sr. Director Human ResourcesJohn Farrell
 
Monica Wrights Resume
Monica Wrights ResumeMonica Wrights Resume
Monica Wrights Resumemonica wright
 
Credentials On Resume. Your resume is your ticket
Credentials On Resume. Your resume is your ticketCredentials On Resume. Your resume is your ticket
Credentials On Resume. Your resume is your ticketKatrina Wilson
 
TK MPH resume 021216
TK MPH resume 021216TK MPH resume 021216
TK MPH resume 021216Tekisha King
 
Tk mph resume 021216
Tk mph resume 021216Tk mph resume 021216
Tk mph resume 021216Tekisha King
 
Sample PositionSeriesGradeHuman Resources Specialist .docx
Sample PositionSeriesGradeHuman Resources Specialist .docxSample PositionSeriesGradeHuman Resources Specialist .docx
Sample PositionSeriesGradeHuman Resources Specialist .docxagnesdcarey33086
 
Kelly&#39.doc;s%20Resume[1]
Kelly&#39.doc;s%20Resume[1]Kelly&#39.doc;s%20Resume[1]
Kelly&#39.doc;s%20Resume[1]Kelly Gonyea
 

Similar to Referral Coordinator Job Description (20)

Customer_Services_Representative
Customer_Services_RepresentativeCustomer_Services_Representative
Customer_Services_Representative
 
Job Desc
Job DescJob Desc
Job Desc
 
Credentialing_Specialist
Credentialing_SpecialistCredentialing_Specialist
Credentialing_Specialist
 
Executive_Director[1]
Executive_Director[1]Executive_Director[1]
Executive_Director[1]
 
Roles and responsibilities scorecard cssr sample
Roles and responsibilities   scorecard cssr sampleRoles and responsibilities   scorecard cssr sample
Roles and responsibilities scorecard cssr sample
 
Center Manager V1.2
Center Manager V1.2Center Manager V1.2
Center Manager V1.2
 
Tanya M.Newbold
Tanya M.Newbold Tanya M.Newbold
Tanya M.Newbold
 
A Learn Guide for Aspiring Patient Service Representative.pdf
A Learn Guide for Aspiring Patient Service Representative.pdfA Learn Guide for Aspiring Patient Service Representative.pdf
A Learn Guide for Aspiring Patient Service Representative.pdf
 
Member Service Representative 2015
Member Service Representative 2015Member Service Representative 2015
Member Service Representative 2015
 
CURRICULUM VITAE
CURRICULUM VITAECURRICULUM VITAE
CURRICULUM VITAE
 
Sr. Director Human Resources
Sr. Director Human ResourcesSr. Director Human Resources
Sr. Director Human Resources
 
Monica Wrights Resume
Monica Wrights ResumeMonica Wrights Resume
Monica Wrights Resume
 
Credentials On Resume. Your resume is your ticket
Credentials On Resume. Your resume is your ticketCredentials On Resume. Your resume is your ticket
Credentials On Resume. Your resume is your ticket
 
Michelle Randolph (1)
Michelle Randolph (1)Michelle Randolph (1)
Michelle Randolph (1)
 
TK MPH resume 021216
TK MPH resume 021216TK MPH resume 021216
TK MPH resume 021216
 
Tk mph resume 021216
Tk mph resume 021216Tk mph resume 021216
Tk mph resume 021216
 
Sample PositionSeriesGradeHuman Resources Specialist .docx
Sample PositionSeriesGradeHuman Resources Specialist .docxSample PositionSeriesGradeHuman Resources Specialist .docx
Sample PositionSeriesGradeHuman Resources Specialist .docx
 
Kelly&#39.doc;s%20Resume[1]
Kelly&#39.doc;s%20Resume[1]Kelly&#39.doc;s%20Resume[1]
Kelly&#39.doc;s%20Resume[1]
 
Jeannine Resume
Jeannine ResumeJeannine Resume
Jeannine Resume
 
adver
adveradver
adver
 

Referral Coordinator Job Description

  • 1. 511 Union Street Suite 1800 Nashville,TN 37219 (615)777-8201 FAX (615)234-3504 DSI Renal Services Job Description Job Title: Referral Coordinator Reports to: Patient Intake Director FLSA status: Non-Exempt SUMMARY: Ensures the timely retrieval of insurance authorizations to avoid collection denials. ESSENTIAL DUTIES AND RESPONISBILITIES: include the following. Other duties may be assigned.  Obtains subsequent insurance authorizations and referrals as required.  Obtains all retro authorization/referrals not obtained due to transition  Appeals all denied authorization/referral request.  Maintains authorization report/exceptions.  Researches and, if necessary, appeals authorization/referrals.  Maintains and updates list of insurance companies that require authorizations/referrals with contact information.  Provides back up to Patient Account Representatives. Supervisory Responsibilities This position has no supervisory responsibilities. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience  High School diploma required.  Associate Degree preferred.
  • 2. 511 Union Street Suite 1800 Nashville,TN 37219 (615)777-8201 FAX (615)234-3504  Minimum of 6 months experience in patient registration in hospital or medical setting preferred.  Exceptional interpersonal skills.  Excellent organizational and time management skills.  Knowledge of medical terminology.  Knowledge of various health insurance programs.  Knowledge in the medical insurance industry required.  Excellent computer skills to include the internet, outlook, excel and word.  Job requires research and exceptional organizational skills to manage a large patient load. Certificates, Licenses, Registrations None required Language Skills  Ability to read, analyze and interpret general health care and/or business periodicals, professional journals and governmental regulations.  Ability to create reports and write business correspondence.  Ability to effectively present information and respond to questions from patients, physicians, billing, insurance companies and the general public. Mathematical Skills  Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals.  Ability to compute rate, ratio and percentages. Reasoning Ability  Ability to define problems, collect data, establish facts and draw valid conclusions.  Ability to deal with several abstracts and concrete variables. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, an employee is required to stand, sit, talk and hear. The employee is required to walk, reach with hands and arms, climb or balance, bend, stoop, kneel and crouch. The employee is occasionally required to lift up to 25 pounds.