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ECM Referral Specialist
2 months ago
Who we are:
We are a healthcare company that puts heart and compassion above all else. Millions of Americans just aren’t getting the medical care they need. We’re on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.
Join us in our mission
Position Responsibilities:
- Review referral requests to assess the appropriateness of referrals based on ECM criteria.
- Obtain necessary patient information and medical records to support referral requests.
- Coordinate referrals with Titanium staff, hospitals, facilities, shelters, and other healthcare entities as needed.
- Verify insurance coverage and upload necessary documents to eClinicalWorks.
- Communicate with patients to schedule appointments, provide referral information, and address concerns or
questions. - Maintain accurate and up-to-date records of referral activities, including documentation of communication with
patients and healthcare providers. - Collaborate with Titanium clinical staff, including nurses and physicians, to complete internal referrals to ECM.
- Monitor referral status and follow up on pending referrals to ensure timely completion.
- Assist with resolving any issues or barriers that may arise during the referral process, such as insurance denials
or document requests. - Stay informed about changes in ECM criteria, referral policies, and healthcare services that may impact the
referral process.
Position Requirements:
- High school diploma or equivalent required
- Previous experience in a healthcare setting, preferably in a role involving referral coordination, care
management, or outreach. - Strong communication skills, both written and verbal, with the ability to effectively interact with patients,
healthcare providers, and insurance companies. - Excellent organizational skills and attention to detail to ensure accurate documentation and timely completion
of referrals. - Proficiency in computer applications, including electronic health record systems, scheduling software, and
Microsoft Office. - Ability to work independently and prioritize tasks in a fast-paced environment.
- Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice.
Preferences (not a requirement for the role):
- Associate or bachelor's degree in healthcare administration, business administration, or related field preferred.
- +1 year of experience as an outbound call center representative.
- An equivalent combination of education and experience that provides the skills, knowledge, and ability to
perform the essential job duties, and which meets any required state or federal certification requirements. - 1 year of experience in healthcare or social service
- Proficiency in EMR system
Travel Requirements: Must be willing to work at both locations.
Equal Employment Opportunity Commission:
At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce.
Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact
