Referral Coordinator

LE045 PMR Illinois Holding, LLC; Evergreen Park, Ashburn (IL, VA); On-site; USD 23,000 - 33,000; Full time

Job summary

ChenMed LLC in Evergreen Park, IL is seeking a Care Coordinator to serve as the primary contact for patient referrals and scheduling of visits with specialty care. You will coordinate with patients, families, physicians, and insurance providers to ensure timely authorizations and seamless transitions of care.

In this role you will triage referrals, gather required information, arrange transportation, and document all steps in the medical record system.

Qualifications

• High School diploma or equivalent required.
• 1 year of referral experience in a healthcare setting preferred.
• Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred.
• Medicare Advantage experience is a plus.

Responsibilities

• Serve as primary point of contact for incoming and outgoing patient referrals.
• Triage referrals, gather information, and assign to providers.
• Coordinate appointments and transitions of care between settings.
• Use CPL/web platforms to generate referrals and authorizations.
• Communicate needs to patients and document all steps in the medical record system.
• Reschedule missed external appointments and notify PCPs.
• Provide extraordinary customer service to internal and external customers.

Skills

Customer service

Organizational skills

Communication

Multitasking

Phone etiquette

English fluency

Education

High School diploma or equivalent

Medical Assistant certification

CPR for Healthcare Providers (preferred)

Tools

Microsoft Office

Word

Excel

PowerPoint

Outlook

Job description

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

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. 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. Facilitate communication, collaboration, and coordination of care. Coordinate appointments, referrals, transitions of care between primary care, specialists, hospitals, and other healthcare settings, ensuring seamless transitions and continuity of care. Schedule patients utilizing coordinated provider list (CPL), make all necessary arrangements related to the appointment, notify patients of appointment information: date, time, and location. Use web-based insurance platforms to generate referral authorizations. Effectively communicate the physicians/clinicians needs or outstanding items to patients. Follow all referrals through to completed appointment and obtain all documentation related to appointment, uploading into organization's medical record system for physician review prior to PCP follow-up appointment. Ensure any missed external appointments are rescheduled and communicated to the PCP. Address referral-related phone calls from patients, providers, etc. Complete and address phone messages in a timely manner. Provide extraordinary customer service to all internal and external customers. Perform 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. 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.

WHO WE ARE

ChenMed is a family-owned, family-oriented organization committed to bringing superior health care to moderate-to-low-income seniors.

Our vision To positively change American healthcare through primary care innovation for the neediest populations.

Our mission To provide a convenient, patient-centered environment that fosters enduring relationships between doctors, staff and patients and delivers superior outcomes and a compassionate experience.

We will create a healthcare system specifically for our patients’ needs through dedicated doctors, a supportive team, and customized technology, and achieve value through scalable innovation, resourcefulness andaccountability.

Our patient promise You are the reason we are here. Your coordinated healthcare and well-being is our focus. Like a member of our family, we will take care of you in good times and in times of need.