CSI Referral Coordinator (H)

CSI Companies•Plano, TX

3d•$26 - $28•Onsite

About The Position

The Referral Coordinator gathers and communicates all relative information and preparation instructions to patient and referring providers. The Referral Coordinator will obtain prior authorizations, complete benefit request and process pre-certs. This role is 100% on-site in Plano, TX, with a schedule of Monday - Friday, 8:30 am - 5:00 pm CST. The compensation is $26 - $28/hr.

Requirements

2yrs+ of relevant experience required
Must obtain Pharmacy Technician License w/in 90 days of start date
Strong customer service and communication skills are required
Ability to multitask in a high demand environment is required
Provide the highest level of professionalism, responsiveness, and communication in order to build and maintain the maximum customer base possible.
Must possess the ability to multi-task and frequently change direction.

Nice To Haves

Specialty Home infusion experience preferred (IVIG / SCIG / Biologics) but not required
General knowledge/experience with pharmacy payors and medical payors is preferred

Responsibilities

Coordinates the authorization and pre-cert process for each assigned referral.
Follows up on referrals receipt.
Processes referrals for requested services, ensuring timely and thorough completion.
Monitors referral request for completeness and takes appropriate steps to review, request and obtain additional information when requested services are incomplete or inconsistent with scope of service.
Provides accurate data entry of referral or authorization information into the electronic medical record.
Sends complete information to patient’s insurance (when applicable) and referring specialist to coordinate referral.
Handles telephone calls in a friendly, courteous, and sensitive manner.
Interacts collaboratively with clinical staff, sales team, and insurance team.
Ensures referral is completed according to the department guidelines and within the appropriate timeframe.
Makes outreach efforts to insurances, patients, specialist offices and care team as set forth by department guidelines and clinical priorities.
Complies with all company policies, instructions, and directives for the fulfillment of company objectives and maximum profitable sales.
Completes and submits all required reports in a timely manner.
Maintains current files and other records in accordance with company instructions and requirements.
Provides high quality services to the home-care patient and the home-care referral source.
Consistently represents the company in a professional manner.
Maintains effective working relationships and cooperates with all personnel in the company.
Adheres to the company’s compliance requirements as stated in the policy and procedure manual and all other related policies.
Performs other duties and responsibilities as assigned.