Referral Coordinator

4 days ago


Philadelphia, Pennsylvania, United States ChenMed Full time
Job Title: Referral Coordinator

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 for our patients. Your primary responsibility will be to coordinate referrals, appointments, and 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
  • Triage referrals, gather necessary information, and ensure timely processing and assignment to appropriate providers
  • Facilitate communication, collaboration, and coordination of care
  • Schedule patients utilizing coordinated provider lists (CPL) and make all necessary arrangements related to the appointment
  • 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
  • Ensure any missed external appointments are rescheduled and communicated to the PCP
  • Address referral-related phone calls from patients, providers, etc.
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
About ChenMed:

ChenMed is a family-owned and physician-led healthcare company that is transforming healthcare for seniors and changing America's healthcare for the better. We are committed to improving the health and well-being of the populations we serve and are seeking talented individuals to join our team.



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