Referral Coordinator

ChenMed•Arlington, TX

21h•Onsite

About The Position

ChenMed is a rapidly expanding, family-owned and physician-led primary care provider focused on transforming healthcare for moderate-to-low-income seniors. The company aims to improve the health and well-being of its patient populations by providing a convenient, patient-centered environment that fosters enduring relationships between doctors, staff, and patients, delivering superior outcomes and a compassionate experience. The Referral Coordinator role, also referred to as Care Coordinator, is a highly visible customer service and patient-focused position. This role involves direct interaction with patients and their families, insurance representatives, outside vendors, physicians, clinicians, and other medical personnel within a dynamic and professional environment. The primary goal is to ensure the highest level of quality healthcare for ChenMed members by coordinating and processing patient referrals efficiently and accurately.

Requirements

Must be detail-oriented
Possess the ability to multi-task
Be open to cross-functionally training in referrals duties
Exercise proper phone etiquette
Have the ability to navigate proficiently through computer software systems
Must be team-oriented and work extremely well with patients, colleagues, physicians and other personnel in a professional and courteous manner
Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks

Nice To Haves

Bilingual in English and Spanish
Knowledge of medical terminology, CPT, HCPCS and ICD coding

Responsibilities

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.
Ensures orders have been approved (when needed).
Schedules patient (Preferred Providers List of Specialist) and notifies them of appointment information, including, date, time, location, etc.
Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and any other approved web IVR for authorization processing).
Completes orders with proper documentation on where patient is scheduled and how patient was notified.
Ensures referrals have been sent to specialist office & confirmed receipt.
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. (Note: If assigned Care Coordinator is unavailable at the time of check out, a colleague shall assist patient. This process does not apply to Care Specialist)
Retrieves consultation notes from the consult tracking tool.
Follows up on all Home Health and DME orders to ensure patient receives services ordered.
Provide extraordinary customer service to all internal and external customers (including patients and other ChenMed Medical team members) at all times.
Utilization of patient messaging tools.
Performs other related duties as assigned.