Fri, 8-5pm EST

Crossover Health

10d•$26 - $34•Remote

About The Position

Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare—Primary Health—built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover’s Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound—in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle.

Requirements

At least 3 years of applicable experience (experience in a Primary Care setting preferred)
High school diploma/GED required
Proficient working with Google spreadsheets and/or excel, database management and data tracking
Access to a quiet / private remote work environment
High speed internet access
Willing and able to work on Thursdays and Fridays 8a-5p EST.

Nice To Haves

Bachelor’s Degree or relative medical experience
Experience processing referrals for a medical group
Creative and flexible and effectively manages obstacles
Excellent follow-through and have strong task execution skills

Responsibilities

Collaborate with providers and staff members to deliver an exceptional seamless patient-centered care experience.
Demonstrate a commitment to quality, delivering uncompromised service and outcomes.
Engage with members by answering all incoming calls, scheduling appointments, responding to messages, and following up with member needs.
Manage all aspects of scheduling for the virtual team including creating and publishing schedule templates, auditing schedules daily, checking in members, sending appointment reminders, and rescheduling appointments as needed.
Collaborate with virtual providers to prioritize and respond appropriately to messages in the queue ensuring that members receive timely responses.
Properly assign and file incoming faxes.
Handle the records request process from start to finish.
Assist with prior authorizations as needed.
Collect copays and answer all member questions related to insurance coverage and cost of care.
Demonstrate an in-depth knowledge of employer-sponsored health insurance, including copays, co-insurance, and related benefit specific requirements, in order to support members.
Accommodate special requests for member support whenever possible and help to promptly resolve member questions.
Assist with assigned projects and provider or patient requests.
Process referrals to secondary care, outside of Crossover Health (specialists, imaging, community resources, employer benefits).
Maintain ongoing communication, tracking, and appropriate documentation on referrals to ensure continuity of care. This tracking may use an IT database.
Ensure that referrals are addressed in a timely manner.
Assist with training relevant stakeholders (MDs and CNs) on the external referral process.
Be the single point of contact between specialists, the clinic physicians, and the patients when care is needed outside of a Crossover Health clinic, and provide updates as appropriate to the clinical team to ensure visibility into active referrals.
Use clinical judgment and critical thinking to discern and refine the correct provider type and stratify the urgency of the referral, in consultation with clinical team members when necessary.
Generate a complete referral packet and ensure timely submission to the specialist of the appropriate clinical documents to support the request for the referral (pertinent clinical notes, historical medical records, imaging reports, lab results).
Ensure the arrival of the packet at the specialist office and a timely patient appointment.
Work within the parameters of the patient insurance benefits and consult with benefit specialists as needed for the most high quality and cost effective care.
Troubleshoot downstream complications or unexpected circumstances so that patient needs are placed first and gaps in care are averted.
Assist in the development of technology and service innovations to ensure a closed loop system of communication and coordination with our Crossover providers and network specialists.
Perform other duties as assigned.