Referral Coordination Specialist - Patient Care Navigator

LE003 Chen Neighborhood Medical Centers of South Florida, LLC; United States; On-site; USD 23,000 - 33,000; Full time

Job summary

ChenMed is seeking a Care Coordinator to act as the primary contact for referrals, coordinate appointments with specialists, and ensure seamless transitions of care for our patients. You will liaise with physicians, insurance providers and families to authorize referrals, schedule visits, and track progress.

Ideal candidates will have strong medical terminology knowledge, excellent organization and phone etiquette, and experience with web-based insurance sites.

Qualifications

• High School diploma or equivalent is required.
• At least 1 year of referral experience in healthcare is required.
• Experience with web-based insurance sites and obtaining referrals/authorizations is preferred.
• Experience with Web IVRs and obtaining referrals/authorizations for multiple payers is strongly preferred.
• Healthcare experience with Medicare Advantage population is preferred.
• CPR for Healthcare Providers is preferred.

Responsibilities

• Authorize, schedule and ensure completion of patient visits with specialty care.
• Serve as primary contact for incoming/outgoing referrals and triage referrals.
• Coordinate appointments and care transitions between primary care, specialists, hospitals and other settings.
• Notify patients of appointment details and generate referrals/authorizations.
• Follow referrals to completion and upload documentation to medical records.
• Provide extraordinary customer service to internal and external customers.

Skills

Medical terminology

Customer service

Phone etiquette

Bilingual (preferred)

Computer software proficiency

Education

High School diploma or equivalent

Tools

Microsoft Office

Web-based insurance portals

Job description

ChenMed is seeking a Care Coordinator to act as the primary contact for referrals, coordinate appointments with specialists, and ensure seamless transitions of care for our patients. You will liaise with physicians, insurance providers and families to authorize referrals, schedule visits, and track progress.

Ideal candidates will have strong medical terminology knowledge, excellent organization and phone etiquette, and experience with web-based insurance sites.