Referral Coordinator

4 weeks ago

Westwood, Massachusetts, United States Steward Health Care Full time
Job Summary:

This role is a key member of the Steward Health Care Network (SHCN) Concierge Referral Management team. The position works within a specific market to identify the most effective provider given an understanding of the local geography and landscape.

Key Responsibilities:
Performs daily operations of Concierge Referral Management in the identified market.
Creates and processes referrals and Radiology prior authorizations.
Receives incoming requests from practices and consumers via efax, phone, or workflow tool.
Obtains authorization from an insurance plan if required.
Verifies eligibility and coverage.
Finds a highly aligned provider to engage a specialist or facility consult using the highly aligned provider listing.
Schedules the appointment with the specialist by contacting the practice or scheduling directly in the electronic medical record.
Notifies PCP/referring practice of the date, time, and specialist the patient will see.
Confirms availability with patients and assists in scheduling the patient with the specialist.
Engages with Medical Directors to process referrals.

Requirements:
Associate degree or equivalent amount of education and experience; Bachelor's degree preferred.
At least 2-4 years' experience in a healthcare-related field. Medical office experience strongly preferred.
Fluency in a foreign language desirable; particularly Spanish, Russian, Portuguese, Haitian Creole, or Vietnamese.
Exceptional Customer Service.
Strong Communication and interpersonal skills; particularly in intense situations.
Ability to meet deadlines in a high-pressure environment.
Knowledge of managed care concepts and medical terminology.
Ability to multi-task and work with multiple software applications.
Knowledge of insurance, medical office practice, and/or referral processing.
Demonstrated ability to process insurance referrals and/or schedule physician appointments.
Excellent organizational skills and attention to detail.
Demonstrated understanding of the need for patient confidentiality in a HIPAA-compliant environment.
Demonstrated ability to work independently and as part of a team.
Knowledge of 3rd party payers.

What We Offer:
A dynamic and supportive work environment.
Opportunities for professional growth and development.
A competitive salary and benefits package.
A chance to make a meaningful difference in the lives of our patients and communities.

How to Apply:
Please submit your application, including your resume and cover letter, to [insert contact information].
We thank all applicants for their interest; however, only those selected for an interview will be contacted.

Steward Health Care is an Equal Opportunity Employer.

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