Referral Coordinator

4 months ago

Oakland Park, United States ChenMed Full time

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 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.
KNOWLEDGE, SKILLS AND ABILITIES:
  • Knowledge of medical terminology, CPT, HCPCS and ICD coding desired
  • An understanding of the company's patient population, including the complexities of Medicare programs
  • Exceptional organizational skills with the ability to effectively prioritize and complete tasks in a timely manner.
  • An understanding of the company's patient population, including the complexities of Medicare programs
  • Detail-oriented with the ability to multi-task.
  • Able to exercise proper phone etiquette.
  • Ability to navigate proficiently through computer software systems & use technology.
  • Ability to work well with patients, colleagues, physicians and other personnel in a professional manner.
  • Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software.
  • Spoken and written fluency in English; bilingual preferred.
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.  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 Employee apply HERE

Current Contingent Worker please see job aid HERE to apply

  • Referral Coordinator

    4 months ago

    Oakland Park, United States ChenMed Full time

    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...

  • Referral Coordinator I

    4 days ago

    Oakland, United States Center for Elders' Independence Full time

    Referral Coordinator I at Center for Elders' Independence summary: The Referral Coordinator I acts as a liaison between healthcare providers and outside specialists to ensure timely scheduling of medical appointments and efficient referral processes. The role requires meticulous data entry, coordination of communication among multiple parties, and...

  • Referral Coordinator I

    5 days ago

    Oakland, United States Center for Elders' Independence Full time

    Referral Coordinator I at Center for Elders' Independence summary: The Referral Coordinator I acts as a liaison between healthcare providers and outside specialists to ensure timely scheduling of medical appointments and efficient referral processes. The role requires meticulous data entry, coordination of communication among multiple parties, and...

  • Referral Coordinator I

    2 months ago

    Oakland, United States None Full time

    REFERRAL COORDINATOR IPOSITION: Under the supervision of the Health Information and Referrals Manager (HIRM), the Referral Coordinator I provides a single point of contact supporting providers in all clinics with scheduling of outside specialist referrals. The role requires detailed and accurate data entry into various electronic systems accompanied by all...

  • Referral Coordinator I

    2 months ago

    Oakland, United States None Full time

    REFERRAL COORDINATOR IPOSITION: Under the supervision of the Health Information and Referrals Manager (HIRM), the Referral Coordinator I provides a single point of contact supporting providers in all clinics with scheduling of outside specialist referrals. The role requires detailed and accurate data entry into various electronic systems accompanied by all...

  • Referral Coordinator I

    4 months ago

    Oakland, United States Center for Elders' Independence Full time

    Job DescriptionREFERRAL COORDINATOR IPOSITION: Under the supervision of the Health Information and Referrals Manager (HIRM), the Referral Coordinator I provides a single point of contact supporting providers in all clinics with scheduling of outside specialist referrals. The role requires detailed and accurate data entry into various electronic systems...

  • Referral Coordinator I

    4 months ago

    Oakland, CA, United States Center for Elders' Independence Full time

    REFERRAL COORDINATOR IPOSITION: Under the supervision of the Health Information and Referrals Manager (HIRM), the Referral Coordinator I provides a single point of contact supporting providers in all clinics with scheduling of outside specialist referrals. The role requires detailed and accurate data entry into various electronic systems accompanied by all...

  • Referral Coordinator

    7 days ago

    Winter Park, Florida, 32792, Orange County, FL, United States ChenMed Full time

    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...

  • Referral Specialist

    7 hours ago

    Winter Park, United States AdventHealth Full time

    Referral Specialist -AdventHealth Primary Care All the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Student Loan Repayment Program · Career Development Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes...

  • Home Health Referral Coordinator

    7 days ago

    Winter Park, Florida, United States Covenant Care Full time

    About the RoleWe are looking for a motivated and results-driven individual to fill the position of Care Navigator. As a key member of our team, you will play a crucial role in promoting Covenant Care's services to healthcare professionals and organizations.Your responsibilities will include developing and maintaining relationships with referral sources,...

  • Referral Process Manager

    3 weeks ago

    Highland Park, Illinois, United States PurposeCare Full time

    Job DescriptionWe are looking for a responsible individual to complete the referral process, including identifying home health needs, verifying benefits, and coordinating care. The ideal candidate will have one year of experience in home health, marketing, or case management, and possess a valid driver's license.

  • Medical Referral Specialist

    1 week ago

    Orland Park, Illinois, United States Home Health Advantage INC. Full time

    Job OverviewHome Health Advantage INC. is a patient-centered home health agency seeking a highly skilled Intake Coordinator. This is a full-time opportunity for an ideal candidate with experience in the home health care industry.**Job Summary:**We are looking for a motivated and organized individual to join our team as an Intake Coordinator. The successful...

  • Program Coordinator

    7 days ago

    Oakland, California, United States East Bay Agency Full time

    East Bay Agency for Children's MissionAt East Bay Agency for Children, we are dedicated to improving the well-being of children, youth, and families by reducing the impact of trauma and social inequities. Our mission is to create communities where all children and families have support systems to reach their full potential.We are seeking a highly motivated...

  • Clinical Operations Coordinator

    1 month ago

    Oakland, California, United States Roots Community Health Center Full time

    Job SummaryWe are seeking a highly skilled Clinical Operations Coordinator to join our team at Roots Community Health Center. This is a full-time position that requires strong organizational and communication skills.The successful candidate will be responsible for managing AMD schedules, checking in and out members, and providing exceptional customer service...

  • Pediatric Care Coordinator

    1 week ago

    Oakland, California, United States Teamwork Speech Therapy Inc Full time

    **Job Description:**We are seeking a skilled Pediatric Care Coordinator to join our team at Teamwork Speech Therapy Inc. In this role, you will be responsible for coordinating the delivery of high-quality services to children and their families, ensuring seamless communication and collaboration across our multidisciplinary teams.Main...

  • Care Coordinator RN

    2 weeks ago

    Oakland, California, United States Medical Search International Full time

    Job Title: Care Coordinator RN">About the Role:We are seeking a highly skilled Registered Nurse to join our multidisciplinary care team as a Nurse Care Coordinator. This role involves providing exceptional primary care and care coordination services at an integrated primary and behavioral health care clinic.The ideal candidate will have sound clinical...

  • Birthday Party Coordinator

    1 week ago

    Oakland, California, United States Oakland Ice Center Full time

    About the Job">This role involves facilitating birthday parties at the Oakland Ice Center, working closely with the Party Coordinator and other department managers. As a Birthday Party Captain, you will ensure that every party is a memorable and enjoyable experience for our young guests.Main Tasks and Responsibilities:">Familiarize yourself with the party...

  • Senior Care Coordinator

    7 days ago

    Oakland, California, United States Family Bridges, Inc. Full time

    Job SummaryThe Medical Case Manager is responsible for coordinating medical and behavioral health services for participants of the Community Based Adult Service Centers. This includes conducting assessments, developing care plans, and ensuring timely referrals to community agencies or facilities.This is an on-site full-time non-exempt role that offers a...

  • Family Support Services Coordinator

    7 days ago

    Oakland, California, United States Brighter Beginnings Full time

    Job ResponsibilitiesThe Mental Health Clinician will be responsible for performing mental health assessments, developing counseling interventions, and providing individual, group, and family counseling. Additionally, this role involves identifying community resources, making referrals, and coordinating services for clients. Strong documentation and...

  • Nurse Care Coordinator

    2 weeks ago

    Oakland, California, United States Primary Care At Home Inc Full time

    We are proud to offer a challenging and rewarding role as a Nurse Care Coordinator at Primary Care At Home Inc., a dynamic non-profit organization serving individuals living with HIV/AIDS in Alameda County.In this capacity, you will play a vital role in ensuring seamless patient care by developing, implementing, and evaluating individualized care plans that...