Patient Referral Coordinator

3 months ago

Greenacres, 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. The incumbent in this role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel to ensure the referral process runs smoothly. He/She operates in a dynamic and professional environment to ensure the highest level of quality healthcare is delivered to our members.

ESSENTIAL JOB DUTIES/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. Effectively communicates 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:

  • Knowledge of medical terminology, CPT, HCPCS and ICD coding desired
  • Detail-oriented with the ability to multi-task. Must be open to cross-functionally training in referrals and back office duties
  • Able to exercise proper phone etiquette with the ability to navigate proficiently through computer software systems
  • Team-oriented with the ability to 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
  • Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
  • Ability and willingness to travel locally within the market up to 10% of the time
  • Spoken and written fluency in English; Bilingual a plus
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

  • Patient Referral Coordinator

    3 months ago

    Greenacres, 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...

  • Patient Referral Coordinator

    3 months ago

    Greenacres, 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...

  • Patient Referral Coordinator

    3 months ago

    Greenacres, 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...

  • Medical Referral Coordinator

    4 weeks ago

    Greenacres, California, United States ChenMed Full time

    We are looking for a highly skilled Medical Referral Coordinator to join our team at ChenMed. As a Medical Referral Coordinator, you will play a critical role in ensuring the smooth referral process for our patients.About UsChenMed is a family-owned and physician-led healthcare company that is transforming the lives of seniors and changing America's...

  • Patient Care Advocate

    6 days ago

    Greenacres, California, United States Privatus Care Solutions Full time

    Privatus Care Solutions is a compassionate home healthcare provider seeking a qualified Patient Care Advocate to join our team. In this role, you will have the opportunity to make a positive impact on the lives of our clients and their families.About the Job:We value our caregivers just as much as we value our clients, providing a supportive work environment...

  • Personalized Patient Advocate

    6 days ago

    Greenacres, California, United States Privatus Care Solutions Full time

    Seeking a Compassionate Home Care Specialist to join our team at Privatus Care SolutionsAs a dedicated caregiver, you will be responsible for providing exceptional care to our clients in the comfort of their own homes. We believe that our caregivers are the heart of our organization, and we strive to create an environment where they can grow and thrive.About...

  • Cardiovascular Nurse Coordinator | Spokane, WA

    4 weeks ago

    Greenacres, California, United States Providence Full time

    About the RoleWe are seeking an experienced Cardiovascular Nurse Coordinator to join our team at Providence Sacred Heart Medical Center in Spokane, WA.Job SummaryThe Cardiovascular Nurse Coordinator will provide coordination and case management for mechanical heart patients, working closely with the transplant committee to ensure seamless care transitions....

  • RN - Mechanical Heart Coordinator

    1 month ago

    Greenacres, United States Providence Full time

    Description Up to $15,000 Hiring Bonus for eligible rehires and external hires that meet required qualifications and conditions for payment. Registered Nurse (RN) – Advanced Heart Disease and Transplant at Providence Sacred Heart Medical Center – Spokane, WA Shift: Average 40 hours weekly, Full-time exempt position. ...

  • Nursing Care Coordinator

    4 weeks ago

    Greenacres, United States Providence Careers Full time

    Job SummaryWe are seeking a skilled Nursing Care Coordinator to join our team in Spokane Valley, WA. This is a full-time position that will be working with patients in their homes and clinics, providing infusion therapy and case management services.About ProvidenceAt Providence, we are committed to delivering exceptional patient care and exceeding our...

  • Lead Clinician

    4 weeks ago

    Greenacres, California, United States CenterWell Primary Care Full time

    Unlock Your Potential in Value-Based CareWe are seeking a skilled Lead Clinician to join our team at CenterWell Primary Care. This rewarding role will challenge you to provide proactive, preventive care to seniors while leading a multidisciplinary care team.About UsAt CenterWell Primary Care, we put health first for our patients, customers, and company. Our...

  • Conviva-Primary Care Physician

    3 weeks ago

    Greenacres, United States Conviva Full time

    Become a part of our caring community and help us put health first Humana’s Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating multiple centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary...

  • Conviva-Primary Care Physician- Central Palm Beach- FL

    2 months ago

    Greenacres, United States Conviva Full time

    Become a part of our caring community and help us put health first Humana’s Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating multiple centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary...

  • Care Team Coordinator

    3 days ago

    Greenacres, California, United States ChenMed Full time

    Rapidly Growing Company Seeks Skilled ProfessionalsChenMed is a leading provider of primary care services to seniors. We're currently seeking a Care Promoter 1 to join our team of dedicated professionals.About the Role:This is an exciting opportunity to be part of a rapidly growing company that's transforming healthcare for seniors. As a Care Promoter 1,...

  • Mental Health Services Manager

    4 weeks ago

    Greenacres, California, United States Petit Psychiatry Full time

    We are seeking a highly skilled and experienced office manager to oversee our mental health services. As a key member of our team, you will be responsible for managing office operations, supervising staff, and ensuring the smooth delivery of services.Responsibilities Direct supervisory responsibility for two or more employees Planning, assigning, and...

  • Medical Management Specialist

    4 weeks ago

    Greenacres, California, United States Petit Psychiatry Full time

    About Petit PsychiatryPetit Psychiatry is a modern private psychiatry service offering psychotherapy treatment options, including medication management and therapy for various mental health issues.Job Description: Medical Management SpecialistWe are seeking an experienced and professional office manager with expertise in managing medical, psychiatric, and...

  • Advanced Heart Disease Nurse Coordinator

    3 weeks ago

    Greenacres, United States Providence Full time

    OverviewAt Providence, we are dedicated to delivering exceptional patient care and creating a supportive work environment for our team members. Our goal is to provide comprehensive services that cater to the unique needs of each individual, promoting healing and well-being in body, mind, and spirit.

  • Nurse Specialist

    3 weeks ago

    Greenacres, California, United States Providence Full time

    OverviewProvidence Clinical Network is a leading healthcare organization serving patients across seven states with quality, compassionate, coordinated care. We are committed to delivering exceptional patient experiences and fostering a culture of excellence among our caregivers.About the RoleThis Nurse Specialist position is a critical part of our team at...

  • Primary Care Physician

    1 day ago

    Greenacres, United States HireTalent - Diversity Staffing & Recruiting Firm Full time

    Position: Primary Care Physician (Locum Tenens)Location: Greenacres Florida 33413Contract: 60 day assignmentWorksite Setting: Outpatient Work Hours: M-F 8am-5pm Job Description:As a Primary Care Physician at a growing Senior Primary Care Outpatient Clinic, you will handle a variety of health-related problems in an outpatient setting, focusing on continuity...

  • Primary Care Physician

    1 day ago

    Greenacres, United States HireTalent - Diversity Staffing & Recruiting Firm Full time

    Position: Primary Care Physician (Locum Tenens)Location: Greenacres Florida 33413Contract: 60 day assignmentWorksite Setting: Outpatient Work Hours: M-F 8am-5pm Job Description:As a Primary Care Physician at a growing Senior Primary Care Outpatient Clinic, you will handle a variety of health-related problems in an outpatient setting, focusing on continuity...

  • Optometrist

    2 months ago

    Greenacres, United States Benjamin J Bittner Full time

    Our office is seeking a medically oriented Optometrist with a desire to provide comprehensive care to patients. Strong leadership abilities are definitely a plus. State-of-the-art equipment and a dedicated support team await you. Associate opportunity leading to a Partnership for the right candidate!Responsibilities-Practice full-service optometric patient...