Referral Coordinator

ChenMed-posted 3 months ago
Full-time • Entry Level
VA
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 High Priority patients in Primary Care Physicians panel, stats, expedites and orders over 5 days.
  • Schedules patient appointments with Preferred Providers List of Specialist and notifies them of appointment information.
  • Uses Web IVR to generate authorizations for various services.
  • Completes orders with proper documentation on where patient is scheduled and how patient was notified.
  • Prepares and actively participates during physician/clinician daily huddles utilizing RITS Huddle Portal and huddle guide.
  • Communicates effectively the physicians/clinicians needs or outstanding items regarding to patients.
  • Enters all Inpatient and Outpatient elective procedures in HITS tool.
  • Ensures patient's external missed appointment are rescheduled and communicated to the physician/clinician.
  • Participates in Super Huddle and provides updates on high priority patients referrals.
  • 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 ordered.
  • Provides extraordinary customer service to all internal and external customers at all times.
  • Utilizes patient messaging tools.
  • Performs other related duties as assigned.
  • High School diploma or equivalent required.
  • Up to one (1) year of relevant work experience required.
  • Must be detail-oriented and possess the ability to multi-task.
  • Must exercise proper phone etiquette and navigate proficiently through computer software systems.
  • Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks.
  • Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred.
  • Bilingual in English and Spanish a plus but not required.
  • Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.
  • Healthcare experience in a clinical setting, preferably within the Medicare HMO population is a plus.
  • CPR for Healthcare Providers is preferred.
  • A valid driver's license in State of employment is required; position may require travel within the market.
  • Great compensation
  • Comprehensive benefits
  • Career development and advancement opportunities
  • Great work-life balance
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