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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 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, 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:
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.
EDUCATION AND EXPERIENCE CRITERIA:
High School diploma or equivalent required.
Up to one (1) year of relevant work experience required. Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred. Healthcare experience in a clinical setting, preferably within the Medicare HMO population is a plus.
CPR for Healthcare Providers is preferred. A valid driver's license in State of employment is required; position may require travel within the market.
Job Type: Full-time
Pay: $17.00 - $20.00 per hour
Benefits:
Weekly day range:
Experience:
Language:
Ability to Relocate:
Work Location: In person
Full Time
Ambulatory Healthcare Services
$39k-48k (estimate)
04/19/2023
08/20/2024
chenmed.com
DESTIN, FL
500 - 1,000
1985
Private
LEO CHEN
$50M - $200M
Ambulatory Healthcare Services
ChenMed is reinventing preventive, VIP primary healthcare for seniors by providing value-based pricing in its clinics located n 12 states stretching from New York to Texas.
The job skills required for Referral Coordinator include Customer Service, Primary Care, CPT, Communicates Effectively, Health Insurance, Organizational Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Referral Coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Referral Coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Referral Coordinator positions, which can be used as a reference in future career path planning. As a Referral Coordinator, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Referral Coordinator. You can explore the career advancement for a Referral Coordinator below and select your interested title to get hiring information.
If you are interested in becoming a Referral Coordinator, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Referral Coordinator for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Referral Coordinator jobs
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