Patient Referral Coordinator

ChenMed-posted 2 months ago
Full-time • Entry Level
Tamarac, FL
1,001-5,000 employees
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The Care Coordinator is a highly visible customer service and patient-focused role that works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare to our members. 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.

  • Coordinates and processes patient referrals to completion with precision, detail and accuracy.
  • Prioritizes HPP patients in Primary Care Physicians panel, stats, expedites and orders over 5 days.
  • Schedules patient appointments with preferred providers and notifies them of appointment information.
  • Uses Web IVR to generate authorizations for various services.
  • Completes orders with proper documentation on patient scheduling and notifications.
  • Participates in physician/clinician daily huddles and communicates needs or outstanding items.
  • Enters all inpatient and outpatient elective procedures in HITS tool.
  • Ensures patients' external missed appointments are rescheduled and communicated.
  • Addresses referral-based phone calls for Primary Care Physicians panel.
  • Completes and addresses phone messages within 24 hours of call.
  • Checks out patients based on their assigned physician/clinician.
  • Retrieves consultation notes from the consult tracking tool.
  • Follows up on all Home Health and DME orders to ensure patient receives services.
  • Provides extraordinary customer service to all internal and external customers.
  • Utilizes patient messaging tools.
  • Performs other related duties as assigned.
  • High School diploma or equivalent required.
  • A minimum of 1 year of relevant work experience in customer service, patient referrals, and/or insurance verification required.
  • Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.
  • Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred.
  • Healthcare experience in a clinical setting, preferably within the Medicare HMO population is a plus.
  • Medical Assistant certification preferred.
  • CPR for Healthcare Providers is preferred.
  • Great compensation.
  • Comprehensive benefits.
  • Career development and advancement opportunities.
  • Great work-life balance.
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