Referral Coordinator, Continence Care

Coloplast; Florida; On-site; USD 55,227 - 82,841; Full time

Job summary

Comfort Medical in Coral Springs, FL is seeking a Referral Coordinator for Continence Care to manage referrals from HCPs, validate files, and ensure accurate data in the CM database.

You will verify insurance benefits, load records, and coordinate with insurers to support order confirmations and shipments. This role requires strong data-entry skills and bilingual communication.

Qualifications

• High school diploma or equivalent.
• Minimum of one-year experience in a contact center.
• English/Spanish bilingual preferred.
• Willingness to engage in telephone direct sales.
• Ability to take initiative and work independently.

Responsibilities

• Process referrals from HCPs and other sources into the CM database for order confirmations and shipment.
• Validate medical files and scan them into customer accounts.
• Verify patients' insurance benefits by contacting insurance companies and documenting accounts.
• Record summaries of insurance information in each account.
• Review medical records for missing documentation and verify signatures.
• Ensure actions for deficient documentation are completed within deadlines.
• Maintain accurate files and update the CM database.
• Research and resolve order issues by communicating with HCPs and insurers.
• Provide support to stakeholders and maintain compliance with Corporate Guidelines.
• Adapt to schedule changes including nights and weekends.
• Operate with professional ethics and comply with laws and policies.
• Perform additional duties as assigned.

Skills

Data entry

Telephone skills

Insurance verification

Bilingual English/Spanish

Education

High school diploma

Tools

CM database

Microsoft Office Suite

Scanner/Imaging

Job description

Referral Coordinator, Continence Care

Location: Coral Springs, FL, US; Country/Region: United Kingdom. Job Family: Sales.

Responsibilities

Responsible for creation and processing of referrals from HCPs and other referral sources into the CM database for order confirmations and shipment. Duties include validation of medical files, scanning them into customer accounts within the database, and verifying patients' insurance benefits by contacting insurance companies and documenting accounts accordingly.

• Process leads from external departments to complete the necessary documentation within the CM database.
• Organize and update customer records by reviewing and validating relevant information received about customers and loading it into the database.
• Complete inbound and outbound telephone calls in response to referrals as documented on the correspondence or HCP referral.
• Verify medical insurance benefits for new and existing patients, including those with changes in insurance and reactivated patients.
• Record a brief and clear summary of insurance information received from the insurance carrier in each account.
• Review each medical record for missing documentation; check physician's notes for appropriate diagnosis to justify Comfort Medical's service; verify that the correct person has signed all paperwork such as physician's orders and other documentation requiring signature.
• Ensure corrective actions for deficient documentation and missing signatures are received and filed within the required period.
• Ensure accuracy of components within the files and scan them into the system when applicable.
• Research and resolve issues regarding a customer's order; communicate with HCPs and insurance to gather relevant information and report outcomes to appropriate stakeholders.
• Update all pertinent records in the company database using Corporate Compliance Guidelines.
• Maintain effective knowledge of policies, procedures, and skills required to complete job duties.
• Exceed quality and quantity performance standards.
• Establish and maintain effective working relationships with customers and co‑workers.
• Demonstrate skilled typing ability and knowledge of personal computers, hardware, software (e.g., Microsoft Office Suite), and related applications and systems.
• Support the Department’s Leadership Team in achieving departmental goals through task completion and continued training.
• Maintain flexibility in scheduling to meet changing business requirements, including nights and weekends.
• Follow good housekeeping and quality procedures.
• Follow and observe all safety practices.
• Set a positive example for co‑workers by observing and adhering to all departmental and corporate policies and procedures.
• Occasionally, high performers or employees demonstrating superior productivity may be asked to engage in overtime.
• Act in accordance with the highest ethical and professional standards; comply with applicable laws, regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
• Perform other job duties as assigned.

Major Areas of Accountability

• Ensure timely and accurate data entry into the CM database.
• Verify completeness and correctness of customer and medical records.
• Maintain proactive communication with client and internal stakeholders.
• Adhere to compliance and quality standards in all activities.
• Support continuous improvement of processes and procedures.
• Stay current on industry regulations and best practices.
• Demonstrate ownership and accountability in all responsibilities.

Basic Qualifications

• High school diploma or equivalent.
• Minimum of one-year experience in a contact center.
• English/Spanish bilingual preferred.
• Willingness to engage in telephone direct sales.
• Ability to take initiative and work independently.

Preferred Qualifications

• Ability to interpret instructions and guidelines to make decisions and take necessary actions.
• Ability to follow complex instructions and guidelines to specific problems arising in the work area.
• Ability to navigate between different computer systems.
• Ability to apply instructions and/or guidelines as appropriate in the performance of duties.
• Ability to maintain composure during stressful situations arising from workloads and/or deadlines.
• Ability to communicate effectively (verbal and written).
• Ability to determine work priorities.
• Ability to work on one’s own initiative to achieve established goals and objectives.

Disclaimer

The statements above are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Benefits

• Health and Wellness: Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Access to company-sponsored wellness programs and mental health resources, paid leave of absence for qualifying events, and generous paid parental leave for both birthing and non-birthing parents.
• Financial Security: Competitive 401(k) plan with company match that vests immediately, financial planning services, and corporate discount programs for goods and services.
• Work‑Life Balance: Generous paid time off, flexible work hours, and flexible work arrangement options to help balance personal and professional life.
• Professional Development: Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
• Recognition and Rewards: Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
• Community and Culture: A supportive work environment where everyone feels valued, along with team-building activities, volunteer opportunities, and company-sponsored events. Sustainability strategy that outlines our ambitions for how we run our company more sustainably.

Compensation

• Competitive Compensation: The total (hourly plus performance-based incentive) compensation range for this position is $55,227 - $82,841. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location.

Equal Employment Opportunity

Comfort Medical is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.

Job ID: 61700 #LI-CM #LI-REMOTE