ChenMed
Join to apply for the 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. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
ESSENTIAL DUTIES AND RESPONSIBILITIES
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.
Orders have been approved (when needed).
Schedules patient (Preferred Providers List of Specialist) and notifies them of appointment information.
Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and any other approved web IVR).
Completes orders with proper documentation on where patient is scheduled and how patient was notified.
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.
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.
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 at all times.
Performs other related duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES
Detail-oriented, ability to multi-task and cross-functional training in referrals duties.
Proper phone etiquette, proficient computer systems navigation.
Team-oriented, work well with patients, colleagues, physicians and other personnel in a professional and courteous manner.
Exceptional organizational skills with ability to effectively prioritize and timely complete tasks.
Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred.
Spoken and written fluency in English; bilingual preferred.
Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook.
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.
Web IVRs experience strongly preferred.
Healthcare experience within the Medicare Advantage population preferred.
Medical Assistant certification preferred.
CPR for Healthcare Providers is preferred.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.
Current Employee apply HERE
Current Contingent Worker please see job aid HERE to apply
#J-18808-Ljbffr
We’re unique. You should be, too.
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?
ESSENTIAL DUTIES AND RESPONSIBILITIES
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.
Orders have been approved (when needed).
Schedules patient (Preferred Providers List of Specialist) and notifies them of appointment information.
Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and any other approved web IVR).
Completes orders with proper documentation on where patient is scheduled and how patient was notified.
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.
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.
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 at all times.
Performs other related duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES
Detail-oriented, ability to multi-task and cross-functional training in referrals duties.
Proper phone etiquette, proficient computer systems navigation.
Team-oriented, work well with patients, colleagues, physicians and other personnel in a professional and courteous manner.
Exceptional organizational skills with ability to effectively prioritize and timely complete tasks.
Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred.
Spoken and written fluency in English; bilingual preferred.
Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook.
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.
Web IVRs experience strongly preferred.
Healthcare experience within the Medicare Advantage population preferred.
Medical Assistant certification preferred.
CPR for Healthcare Providers is preferred.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.
Current Employee apply HERE
Current Contingent Worker please see job aid HERE to apply
#J-18808-Ljbffr