Referral Coordinator

ChenMed LLC; Ashburn (GA); Vor Ort; USD 23.000 - 33.000; Vollzeit

Zusammenfassung

ChenMed LLC seeks a Care Coordinator to act as a patient-focused liaison, authorizing and scheduling referrals with insurers and vendors. You will coordinate care across providers, ensure timely appointments, and maintain accurate documentation in the medical record system.

Strong organizational skills and excellent customer service are essential. Experience with Medicare programs and web-based referral platforms is highly valued.

Qualifikationen

• High School diploma or equivalent required.
• A minimum of 1 year of referral experience in a healthcare setting required.
• Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred.
• Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.
• Healthcare experience within the Medicare Advantage population preferred.
• Medical Assistant certification preferred.
• CPR for Healthcare Providers is preferred.

Aufgaben

• Serve as primary contact for incoming and outgoing patient referrals and triage accordingly.
• Facilitate communication and coordination of care across primary care, specialists, and hospitals.
• Schedule patients, notify them of date, time, and location of appointments.
• Generate referral authorizations using web-based insurance platforms.
• Communicate needs and outstanding items to physicians/clinicians and patients.
• Ensure all referrals are followed through to completed appointments and upload docs.
• Reschedule missed external appointments and inform the PCP.
• Address referral-related calls promptly and provide extraordinary customer service.

Kenntnisse

Medical terminology

Organizational skills

Phone etiquette

Microsoft Office

Communication

Team collaboration

Multitasking

Ausbildung

High School diploma or equivalent

Jobbeschreibung

We’re unique. You should be, too.

We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Care Coordinator is a highly visible customer service and patient-focused role. They work directly with the organization’s patient population and their families to authorize, schedule, and ensure completion of patient visits with specialty care. This includes working with insurance representatives and outside vendors, arranging transportation, communicating with physicians, clinicians and other medical personnel, and any other entities necessary for successful completion of approved referrals.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• Serve as primary point of contact for incoming and outgoing patient referrals. Triage referrals, gather necessary information, ensure timely processing and assignment to appropriate providers.
• Facilitates communication, collaboration, and coordination of care. Coordinating appointments, referrals, transitions of care between primary care, specialists, hospitals, and other healthcare settings, ensuring seamless transitions and continuity of care.
• Schedules patients utilizing coordinated provider list (CPL), makes all necessary arrangements related to the appointment, notify patients of appointment information: date, time, and location.
• Uses web-based insurance platforms to generate referral authorizations.
• Effectively communicates the physicians/clinicians needs or outstanding items to patients.
• Follows all referrals through to completed appointment and obtains all documentation related to appointment, uploading into organization’s medical record system for physician review prior to PCP follow-up appointment.
• Ensures any missed external appointments are rescheduled and communicated to the PCP.
• Addresses referral-related phone calls from patients, providers, etc. Completes and addresses phone messages in a timely manner.
• Provides extraordinary customer service to all internal and external customers.
• Performs other related duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of medical terminology, CPT, HCPCS and ICD coding desired
• An understanding of the company’s patient population, including the complexities of Medicare programs
• Exceptional organizational skills with the ability to effectively prioritize and complete tasks in a timely manner.
• An understanding of the company’s patient population, including the complexities of Medicare programs
• Detail-oriented with the ability to multi-task.
• Able to exercise proper phone etiquette.
• Ability to navigate proficiently through computer software systems & use technology.
• Ability to work well with patients, colleagues, physicians and other personnel in a professional manner.
• Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software.
• Spoken and written fluency in English; bilingual preferred.
• Flexible to work evening, weekends and/or holidays as needed

EDUCATION AND EXPERIENCE CRITERIA:

• High School diploma or equivalent required
• A minimum of 1 year of referral experience in a healthcare setting required.
• Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred.
• Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred
• Healthcare experience within the Medicare Advantage population preferred.
• Medical Assistant certification preferred
• CPR for Healthcare Providers is preferred

PAY RANGE:

$17.0 - $24.26 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.