Referral Coordinator

1 month ago

Canton, United States Aylo Health Full time
Job DescriptionJob Description

JOB SUMMARY:

The Referral Coordinator is responsible for initiating and completing internal/external referral requests and providing initial review of benefits and eligibility for services requiring authorization.

ESSENTIAL FUNCTIONS:

  • Responsible for initiating and completing internal/external, pre-certification referral requests
  • Reviews patient eligibility and benefits
  • Assigns appropriate diagnosis and procedure codes following coding guidelines for all referral requests
  • Aids primary care practitioners and office staff with coding and target review questions
  • Maintains current knowledge of both coding and targeted review items to ensure that requests are initiated and sent correctly per benefit guidelines and adheres to time frame specified by ELH standards
  • Ensure coding is completed correctly on all requests to meet all regulatory guidelines and audit standards which will result in compliance and correct reimbursement
  • Assists and educates patients by answering questions regarding referral and authorization process
  • Maintains effective communication with physicians and staff as necessary to gather information for referrals as needed
  • Provides verbal notification in accordance to policy and procedure for patients and providers with respect to the outcome of their requested service
  • Maintains excellent customer service and professionalism with providers, patients and team members
  • Any other duties and/or special projects as assigned

QUALIFICATIONS REQUIRED:

  • High School graduate or equivalent required
  • Minimum of 1 year experience in the same or similar role
  • Insurance company/managed care procedural experience preferred
  • Previous experience with eClinical Works electronic medical records software preferred

We offer our employees a comprehensive benefits package that includes:

  • Medical insurance with prescription drug coverage
  • Dental insurance
  • Vision insurance
  • Company-paid child care
  • Company-paid basic life insurance
  • 401(k) with company match
  • Dependent Care Flexible Spending Account
  • Healthcare Flexible Spending Account
  • Paid time off

Company DescriptionAt Aylo, we’ve built a model of healthcare that unlocks the potential of both our patients and those who serve them. That’s why we equip our team with world-class tools and remove many of the administrative tasks that get in the way of caring for patients. Our policies and programs are designed to help discover and unlock your potential by providing opportunities to help you build a healthy and balanced life while advancing your career. It is our belief that by creating a company that cares for you, you’ll be better equipped to provide that same level of care for our patients. Take the next step towards an exciting and fulfilling career, and unlock your potential to transform the future of healthcare with Aylo Health.Company DescriptionAt Aylo, we’ve built a model of healthcare that unlocks the potential of both our patients and those who serve them. That’s why we equip our team with world-class tools and remove many of the administrative tasks that get in the way of caring for patients. Our policies and programs are designed to help discover and unlock your potential by providing opportunities to help you build a healthy and balanced life while advancing your career. It is our belief that by creating a company that cares for you, you’ll be better equipped to provide that same level of care for our patients. Take the next step towards an exciting and fulfilling career, and unlock your potential to transform the future of healthcare with Aylo Health.

  • Intake Coordinator

    4 weeks ago

    Canton, United States Point32Health Full time

    Respond to provider queries, enter administrative authorization data into the computer system, and maintain proper documentation and files to support care of members, customer service, and other departmental functions. Enters all referral/data information into the computer system, maintains proper documentation and facilitates coordination of services. The...

  • Intake Coordinator

    4 weeks ago

    Canton, United States Ignyte AI Full time

    Job DescriptionJob DescriptionRespond to provider queries, enter administrative authorization data into the computer system, and maintain proper documentation and files to support care of members, customer service, and other departmental functions. Enters all referral/data information into the computer system, maintains proper documentation and facilitates...

  • Intake Coordinator

    4 weeks ago

    Canton, United States Point32Health Full time

    Respond to provider queries, enter administrative authorization data into the computer system, and maintain proper documentation and files to support care of members, customer service, and other departmental functions. Enters all referral/data information into the computer system, maintains proper documentation and facilitates coordination of services. The...

  • Community Care Coordinator

    3 weeks ago

    Canton, United States Alternate Solutions Health Network Full time

    Agency:Summa Health at Home and HospiceOur culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.SCHEDULE: Monday - Friday 8am-5pmHOW YOU'LL MAKE A DIFFERENCE:At our agency, we care for...

  • Care Coordinator RN

    4 weeks ago

    Canton, United States Rochester Regional Health Full time

    HOW WE CARE FOR YOU At St. Lawrence Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community SUMMARY The Care Coordinator works in collaboration and continuous partnership with chronically ill or...

  • Front Desk Coordinator

    1 month ago

    Canton, United States Atlanta Women's Health Group, P.C. Full time

    Job DescriptionJob DescriptionPractice Locations: CantonPatient Services Coordinator - Front DeskProvides clerical support to the medical team and to other patient service personnel as indicated. JOB ACCOUNTABILITIESAnswer telephones, take referrals, and transfer calls to appropriate personSchedule appointments and contact patients about upcoming...

  • Care Coordinator RN

    1 month ago

    Canton, United States Rochester Regional Health Full time

    HOW WE CARE FOR YOUAt St. Lawrence Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the communitySUMMARYThe Care Coordinator works in collaboration and continuous partnership with chronically ill or...

  • Care Coordinator Jail OMJST

    1 month ago

    Canton, United States CommQuest Services Inc Full time

    S-1918-14 Job Title: Care Coordinator - Jail OMJST Worksite Location: Canton, Ohio 44702 Number of Openings: 1 * * APPLY DIRECT: Submit your resume by email to HR@commquest.org * * Please mention OhioMeansJobs Stark or Tuscarawas when applying to this employer. Overview of Position Working with the Stark County Jail on their new STAR program to...

  • Front Desk Coordinator

    4 weeks ago

    Canton, United States North American Dental Group Full time

    Overview: Dental Care of Michigan - Canton, MI Front Desk Coordinator Open Up to A Whole New Dental Experience Imagine working in a place which delivers best in class patient care and focuses on putting every patient first, every visit. Our guiding principle is empathy, and we want you to join us on our mission to transform the dental experience. Our...

  • Intake Coordinator

    4 weeks ago

    Canton, Massachusetts, 02021, Norfolk County, MA, United States Point32Health Full time

    Respond to provider queries, enter administrative authorization data into the computer system, and maintain proper documentation and files to support care of members, customer service, and other departmental functions. Enters all referral/data information into the computer system, maintains proper documentation and facilitates coordination of services. The...

  • Care Coordinator, Transitions of Care

    2 weeks ago

    Canton, United States Cityblock Full time

    #communityhealth #healthcare About Us: Cityblock Health is the first tech-driven provider for communities with complex needs-bringing better care to where it's needed most, block by block. Founded in 2017 on the premise that "health is local" and based in Brooklyn, we are backed by Alphabet's Sidewalk Labs along with some of the top healthcare investors in...

  • Care Coordinator, Transitions of Care

    1 month ago

    Canton, United States Cityblock Full time

    #communityhealth #healthcare About Us: Cityblock Health is the first tech-driven provider for communities with complex needs-bringing better care to where it's needed most, block by block. Founded in 2017 on the premise that "health is local" and based in Brooklyn, we are backed by Alphabet's Sidewalk Labs along with some of the top healthcare investors in...

  • RN Field Clinical Care Coordinator/Transitions

    1 month ago

    Canton, United States UnitedHealth Group Inc Full time

    RN Field Clinical Care Coordinator/Transitions - Canton, TXAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable...

  • Advocacy Coordinator with Court Appointed Special Advocates

    1 month ago

    Canton, Ohio, United States The Children's Haven Full time

    The Children's Haven is hiring for its program, CASA of Cherokee County.The CASA program is accepting applications for a salaried, full-time Advocacy Coordinator to join a collaborative team serving youth experiencing foster care.Purpose: Supervise, coach, and empower Volunteer Advocates who navigate the Juvenile Court system, speaking for the best interest...

  • Youth and Young Adult Coordinator

    2 weeks ago

    North Canton, United States Bellefaire JCB Full time

    Job DescriptionJob Description~Offering a $2,000 Hiring Bonus~Bellefaire JCB is among the nation’s largest, most experienced child service agencies providing a variety of mental health, substance abuse, education, and prevention services. Bellefaire JCB helps more than 43,000 youth and their families yearly achieve resiliency, dignity and self-sufficiency...

  • Youth and Young Adult Coordinator

    1 month ago

    North Canton, United States Bellefaire JCB Full time

    Job DescriptionJob Description~Offering a $2,000 Hiring Bonus~Bellefaire JCB is among the nation’s largest, most experienced child service agencies providing a variety of mental health, substance abuse, education, and prevention services. Bellefaire JCB helps more than 43,000 youth and their families yearly achieve resiliency, dignity and self-sufficiency...

  • Account Executive

    3 weeks ago

    Canton, United States Georgia Hospice Care Full time

    Overview: Become an Account Executive with Georgia Hospice CareDo you have a knack for coordinating, organizing, and making connections? Are you ready to make a difference in the lives of others and in the community?  We are looking for account executives to join our team who are committed to serving our patients with compassion and integrity.  As an...

  • Hospice Clinical Supervisor | RN

    1 month ago

    Canton, United States Absolute Companies Full time

    Hospice Clinical Supervisor | RNOur established, 50 year old company, is searching for a caring, experienced Clinical Supervisor for our Hospice Division.Job Description SummaryThe Clinical Supervisor is responsible for ensuring that patient care is coordinated and managed appropriately. The Clinical Supervisor provides liaison services, coordinating patient...

  • patient access specialist

    3 weeks ago

    Canton, United States Aultman Health Foundation Full time

    Req# 29178 Aultman Health Foundation, CANTON, OH AULTMAN MEDICAL GROUP INC Aultman Health Foundation Full Time, Day Shift, 8:00am-4:30pm Position Summary: The primary role of this position is to serve as liaison between the provider practices and patients in the process of scheduling, obtaining prior authorization for testing, diagnostic imaging, and...

  • Care Coordinator, Transitions of Care

    1 month ago

    East Canton, United States Cityblock Full time

    #communityhealth #healthcare About Us: Cityblock Health is the first tech-driven provider for communities with complex needs-bringing better care to where it's needed most, block by block. Founded in 2017 on the premise that "health is local" and based in Brooklyn, we are backed by Alphabet's Sidewalk Labs along with some of the top healthcare investors in...