ChenMed
Overview
Referral Coordinator role at ChenMed. We’re unique. You should be, too. We’re changing lives every day for both our patients and our team members. If you are innovative, entrepreneurial-minded, and have a strong work ethic, you may be a fit for this role. The Care Coordinator is a highly visible, patient-focused role. The incumbent works directly with patients and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel to ensure the referral process runs smoothly. The environment is dynamic and professional, with a commitment to delivering high-quality healthcare to our members. Essential job duties / responsibilities
Coordinate and process patient referrals to completion with precision and detail. Prioritize HPP patients in Primary Care Physicians panel, manage stats, expedite and order as needed (over 5 days). Ensure orders are approved when required; schedule patients (Preferred Providers List of Specialists) and notify them of appointment information (date, time, location). Use Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and other approved web IVRs). Complete orders with proper documentation on scheduling location and patient notification. Send referrals to specialist offices and confirm receipt. Prepare for and participate in physician/clinician daily huddles using the RITS Huddle Portal and huddle guide; communicate physicians/clinicians needs or outstanding items regarding patients. Enter all inpatient and outpatient elective procedures in the HITS tool. Reschedule external missed appointments and communicate changes to the physician/clinician. Participate in Super Huddle and provide updates on high-priority patient referrals. Address referral-related calls for the Primary Care Physicians panel. Complete and address phone messages within 24 hours of receipt. Check out patients based on their assigned physician/clinician; assist from a colleague if the assigned Care Coordinator is unavailable (not applicable to Care Specialist). Retrieve consultation notes from the consult tracking tool. Follow up on all Home Health and DME orders to ensure patients receive services ordered. Provide extraordinary customer service to all internal and external customers, including ChenMed medical team members, utilizing patient messaging tools. Perform other related duties as assigned. Knowledge, skills and abilities
Knowledge of medical terminology, CPT, HCPCS and ICD coding is desired. Detail-oriented with the ability to multi-task; open to cross-functional training in referrals and back-office duties. Excellent phone etiquette and ability to navigate computer software systems. Team-oriented with the ability to work well with patients, colleagues, physicians and other personnel in a professional and courteous manner. Exceptional organizational skills with the ability to prioritize and timely complete tasks. Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and database/presentation software. Ability and willingness to travel locally within the market up to 10% of the time. Spoken and written fluency in English; bilingual is a plus. Education and experience criteria
High School diploma or equivalent required. A minimum of 1 year of referral experience in a healthcare setting required. Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred. Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred. Healthcare experience within the Medicare Advantage population preferred. Medical Assistant certification preferred. CPR for Healthcare Providers is preferred. We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. We’re growing rapidly and seek to rescue more seniors from inadequate health care. ChenMed offers competitive compensation, comprehensive benefits, career development and advancement opportunities, and a supportive work-life balance. Join our team and make a difference in people’s lives every day. Current Employee apply here. Current Contingent Worker please see job aid here to apply.
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Referral Coordinator role at ChenMed. We’re unique. You should be, too. We’re changing lives every day for both our patients and our team members. If you are innovative, entrepreneurial-minded, and have a strong work ethic, you may be a fit for this role. The Care Coordinator is a highly visible, patient-focused role. The incumbent works directly with patients and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel to ensure the referral process runs smoothly. The environment is dynamic and professional, with a commitment to delivering high-quality healthcare to our members. Essential job duties / responsibilities
Coordinate and process patient referrals to completion with precision and detail. Prioritize HPP patients in Primary Care Physicians panel, manage stats, expedite and order as needed (over 5 days). Ensure orders are approved when required; schedule patients (Preferred Providers List of Specialists) and notify them of appointment information (date, time, location). Use Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and other approved web IVRs). Complete orders with proper documentation on scheduling location and patient notification. Send referrals to specialist offices and confirm receipt. Prepare for and participate in physician/clinician daily huddles using the RITS Huddle Portal and huddle guide; communicate physicians/clinicians needs or outstanding items regarding patients. Enter all inpatient and outpatient elective procedures in the HITS tool. Reschedule external missed appointments and communicate changes to the physician/clinician. Participate in Super Huddle and provide updates on high-priority patient referrals. Address referral-related calls for the Primary Care Physicians panel. Complete and address phone messages within 24 hours of receipt. Check out patients based on their assigned physician/clinician; assist from a colleague if the assigned Care Coordinator is unavailable (not applicable to Care Specialist). Retrieve consultation notes from the consult tracking tool. Follow up on all Home Health and DME orders to ensure patients receive services ordered. Provide extraordinary customer service to all internal and external customers, including ChenMed medical team members, utilizing patient messaging tools. Perform other related duties as assigned. Knowledge, skills and abilities
Knowledge of medical terminology, CPT, HCPCS and ICD coding is desired. Detail-oriented with the ability to multi-task; open to cross-functional training in referrals and back-office duties. Excellent phone etiquette and ability to navigate computer software systems. Team-oriented with the ability to work well with patients, colleagues, physicians and other personnel in a professional and courteous manner. Exceptional organizational skills with the ability to prioritize and timely complete tasks. Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and database/presentation software. Ability and willingness to travel locally within the market up to 10% of the time. Spoken and written fluency in English; bilingual is a plus. Education and experience criteria
High School diploma or equivalent required. A minimum of 1 year of referral experience in a healthcare setting required. Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred. Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred. Healthcare experience within the Medicare Advantage population preferred. Medical Assistant certification preferred. CPR for Healthcare Providers is preferred. We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. We’re growing rapidly and seek to rescue more seniors from inadequate health care. ChenMed offers competitive compensation, comprehensive benefits, career development and advancement opportunities, and a supportive work-life balance. Join our team and make a difference in people’s lives every day. Current Employee apply here. Current Contingent Worker please see job aid here to apply.
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