Referral Coordinator

6 days ago


Norfolk, Virginia, United States ChenMed Full time
Job Summary

ChenMed is seeking a highly skilled Referral Coordinator to join our team. As a Referral Coordinator, you will play a critical role in ensuring seamless transitions of care between primary care, specialists, hospitals, and other healthcare settings.

Key Responsibilities
  • Serve as the primary point of contact for incoming and outgoing patient referrals, triaging referrals, gathering necessary information, and ensuring timely processing and assignment to appropriate providers.
  • Facilitate communication, collaboration, and coordination of care, coordinating appointments, referrals, transitions of care, and ensuring seamless transitions and continuity of care.
  • Schedule patients utilizing coordinated provider lists (CPL), making all necessary arrangements related to the appointment, and notifying patients of appointment information.
  • Use web-based insurance platforms to generate referral authorizations.
  • Effectively communicate the physicians/clinicians needs or outstanding items to patients.
  • Follow all referrals through to completed appointment and obtain all documentation related to appointment, uploading into organizations medical record system for physician review prior to PCP follow-up appointment.
  • Ensure any missed external appointments are rescheduled and communicated to the PCP.
  • Address referral-related phone calls from patients, providers, etc., completing and addressing phone messages in a timely manner.
  • Provide extraordinary customer service to all internal and external customers.
Requirements
  • 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.

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