Referral Coordinator

ChenMed

Posted 3 months ago

Full Time

Jacksonville, Florida

In Person

Smart Summary

Responsibilities

Coordinates and processes patient referrals to completion, including scheduling appointments and obtaining necessary insurance authorizations. Acts as a primary point of contact for patients, families, and medical personnel to ensure high-quality healthcare delivery.

Qualifications

You are detail-oriented, possess excellent organizational and multitasking skills, and can proficiently navigate computer software systems. You should have experience with medical terminology and CPT, HCPCS, and ICD coding, along with the ability to provide extraordinary customer service and work effectively in a team environment.

Must Have Skills for ATS

medical terminology

CPT coding

HCPCS coding

ICD coding

Availity

Careplus

Healthhelp NIA

Job Description

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?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

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.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Coordinates and processes patient referrals to completion with precision, detail and accuracy.

Definition of completion:

  • Prioritizes High Priority 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, 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.
  • 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.

KNOWLEDGE, SKILLS AND ABILITIES:

  • Bilingual in English and Spanish a plus but not required.
  • Must be detail-oriented, possess the ability to multi-task and be open to cross-functionally training in referrals duties.
  • The individual in this role must exercise proper phone etiquette and 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. Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred.

PAY RANGE:

$17.0 - $24.26 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.  Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. 

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 employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Onsite

ChenMed

We’re on a mission. To change lives. And to change healthcare. ChenMed serves underserved – moderate-to-low-income seniors with complex chronic diseases. Our high-touch, VIP, preventive primary care works. For our patients. And our team members. Unlike typical primary care providers, we have a much lower doctor-patient ratio which allows us to spend more time with our patients, getting to know them and their concerns so we can better serve them. Practicing medicine, the way it was meant to be practiced. We are known to our patients as Dedicated Senior Medical Center, Chen Senior Medical Center, or JenCare Senior Medical Center. With 100+ centers in 15 states, our privately held, physician-led company is featured in Fortune’s 2020 “Change The World” list, listed as a “Great Places To Work” 2022, 2023, and listed as one of Newsweek's "Most Loved Places to Work" for 2021 and 2022. We offer competitive compensation/benefits, a great mission-driven culture and so much more.
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