Referral Coordinator

ChenMed LLC; Lakeland (FL); On-site; USD 35,000 - 55,000; Full time

Job summary

An innovative healthcare provider is seeking a Care Coordinator to enhance patient experiences and streamline referral processes. This role involves working closely with patients, families, and medical teams to ensure seamless healthcare delivery. You'll coordinate referrals, utilize advanced web systems for authorizations, and maintain meticulous records. Join a rapidly growing organization dedicated to transforming healthcare for seniors, where your contributions will make a significant impact on patient care and team collaboration. Enjoy a supportive environment that values work-life balance and offers opportunities for career growth.

Benefits

Great compensation

Career growth opportunities

Work-life balance

Comprehensive benefits

Qualifications

• 1+ year of referral experience in healthcare is required.
• Knowledge of medical terminology and coding is desirable.

Responsibilities

• Coordinate and process patient referrals with precision and accuracy.
• Provide exceptional customer service to all internal and external customers.

Skills

Medical Terminology

CPT Coding

ICD Coding

Detail-oriented

Customer Service

Microsoft Office Suite

Database Management

Bilingual Skills

Education

High School Diploma

Medical Assistant Certification

CPR Certification

Tools

Web IVR Systems

Availity

Careplus

Healthhelp NIA

Job description

We’re unique. You should be, too.

We’re changing lives every day for our patients and team members. Are you innovative, entrepreneurial, and have a strong work ethic? Do you inspire others with kindness and joy?

We’re different from most primary care providers. As we rapidly expand, we need great people to join our team.

The Care Coordinator is a highly visible, patient-focused role. This position works directly with patients, their families, insurance representatives, outside vendors, physicians, clinicians, and other medical personnel to ensure the referral process runs smoothly. The environment is dynamic and professional, aiming to deliver the highest quality healthcare to our members.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

1. Coordinate and process patient referrals with precision, detail, and accuracy.

Definition of completion:

1. Prioritize HPP patients in the Primary Care Physicians panel, expedite, and order over 5 days.
2. Ensure orders are approved when needed.
3. Schedule patients with providers from the Preferred Providers List and notify them of appointment details.
4. Use Web IVR systems (Availity, Careplus, Healthhelp NIA, etc.) for authorizations.
5. Complete orders with proper documentation of scheduling and notifications.
6. Send referrals to specialists and confirm receipt.
7. Participate in physician/clinician daily huddles using RITS Huddle Portal, communicating needs or outstanding items.
8. Enter all inpatient and outpatient elective procedures in HITS.
9. Reschedule and communicate external missed appointments to physicians/clinicians.
10. Participate in Super Huddle, providing updates on high-priority referrals.
11. Handle referral-related phone calls for the Primary Care Physicians panel.
12. Respond to phone messages within 24 hours.
13. Check out patients based on their assigned physician/clinician, assisting colleagues if unavailable.
14. Retrieve consultation notes from the consult tracking tool.
15. Follow up on Home Health and DME orders to ensure service delivery.
16. Provide exceptional customer service to all internal and external customers, including patients and team members, utilizing messaging tools.
17. Perform other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Knowledge of medical terminology, CPT, HCPCS, and ICD coding is desirable.
• Detail-oriented with multi-tasking ability and willingness to cross-train.
• Proficient in phone etiquette and navigating computer systems.
• Team-oriented, professional, and courteous in interactions.
• Excellent organizational skills with effective prioritization.
• Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and database management.
• Willing to travel locally up to 10%.
• Fluent in English; bilingual skills are a plus.

EDUCATION AND EXPERIENCE CRITERIA:

• High School diploma or equivalent required.
• At least 1 year of referral experience in healthcare required.
• Experience with web-based insurance sites and obtaining referrals/authorizations preferred.
• Experience with Web IVRs and Medicare Advantage population preferred.
• Medical Assistant certification and CPR certification are preferred.

We’re ChenMed, transforming healthcare for seniors and improving America’s healthcare. Family-owned and physician-led, we focus on better health and well-being for our populations. We’re growing rapidly to serve more seniors.

Join us for great compensation, benefits, career growth, work-life balance, and the chance to make a difference every day.

Current Employee? Apply HERE.

Current Contingent Worker? See the job aid HERE to apply.