At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. I. PRIMARY FUNCTION/GENERAL PURPOSE OF POSITION: Coordinator will be responsible for obtaining the proper authorization and or/ pre-certification for all procedures done outside of the primary care physician’s office, as deemed necessary by the patient’s insurance company. II. EMPLOYMENT QUALIFICATIONS: The position requires a high school diploma; excellent clerical, telephone, computer skills, knowledge if ICD-9 and CPT coding, along with a working knowledge of third party payer referral system. Basic understanding of medical terminology. III. ESSENTIAL JOB FUNCTIONS: ____ 1. Obtains all referrals and authorizations and makes appointments for: a. Doctor to doctor referrals b. Special testing c. Outpatient testing including mammograms d. Dietary Consults e. Physical Therapy f. Mental Health g. Emergency room referrals _____ 2. Completes all referrals within 48 hours if possible _____ 3. Keeps referral guide book up-to-date _____ 4. Attends insurance meetings pertaining to referrals _____ 5. Contacts insurance companies when necessary _____ 6. Resolves problem referrals (retroactive, failure to obtain, etc.) _____ 7. Keeps referral log sheet _____ 8. Prepares referral notes, X-rays, fax records as needed _____ 9. Answers patient questions regarding insurance and their appointment Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com