Referral Coordinator

3 weeks ago

St Paul, United States CareerBuilder Full time

Referral Coordinator

POSITION SUMMARY

The Referral Coordinator performs a wide range of administrative duties to include referral processing, clinical

reviews, insurance verification, background checks, communication of acceptance to the patient transitions

liaison, and other tasks assigned.

ESSENTIAL RESPONSIBILITIES AND DUTIES

To provide support to the Facility and Monarch Referral Management Team

Ensures referrals are clinically and financially reviewed in a timely manner

Reviews and assembles and overview of the referrals clinical needs and background. Including reviewing

medication cost, and cost of specialty needs and equipment,

Reviews and assembles a complete and accurate review of insurance coverage. Provides a description of primary and secondary insurance coverage

Completes Background checks on all referrals

Enters referrals into Enquire daily, in a timely manner

Assists MRM Team in problem solving potential issues related to clinically complex, financially complex,

or psychosocially complex referrals.

Maintains Healthy Relationships and Uses Professional Conduct with Residents, Families, Visitors

Is courteous and cooperative with residents, families, visitors, supervisors, and co-workers.

Follows dress code, wears name tag, and limits personal phone calls.

Is courteous and cooperative with residents, families, visitors, supervisors, and co-workers.

Always maintains resident and personnel confidentiality. Understands the need for complete privacy of

all health care data.

Abides by and promotes the Continuous Quality Improvement Program of Monarch Healthcare

Management.

FACILITY COMPLIANCE

Maintains departmental records of each resident with original referral, admission papers, current

insurance, and financial information.

Attends meetings as directed to include departmental meetings, business development meetings, etc.

Participates in inspections and audits of department as needed to maintain safety and sanitary

conditions.

Identifies areas of problem/needs through surveys and communicates these at QA&A committee

meetings.

Attends continuing education/in-services pertinent to your department.

Maintains and applies knowledge of current policies and procedures. Assists in policy and procedure

development as needed

Promotes a highly positive workplace centered on strong customer service, inclusivity and ensuring staff

feel welcome and supported

QUALIFICATIONS

Education and Experience

Bachelors degree preferred or two years related experience in healthcare and/or equivalent

education in a degree such as Admissions, Social Services, Nursing, or Healthcare Administration.

Proficient computer skills and excellent time management is required

Preferred

Experience with health insurance, Medicare, Medical Assistance, and other health care plans is

preferred

Experience in healthcare, skilled nursing facility or assisted living community

Required Skills and Abilities

Ability to effectively manage multiple tasks and pivot with sudden demands of your attention

Resilience; ability to welcome constructive feedback, course correct and not take it personally

Personability; ability to get along with all personality types and inspire trust with residents, staff, family

High emotional intelligence (EQ)

Ability to actively listen, with the goal of understanding

Ability to clearly speak and proficiently read and write in English

Comfort in operating in ambiguous situations and with diverse populations

Ability to thrive in an environment that is fast-paced and rapidly growing

About Monarch:

Monarchs mission is to change the way short term rehabilitation and long-term care is delivered. We strive to make patient care and customer service come together, putting the needs of our residents and their families first. We fulfill the communities need for health and housing, in a comfortable well equipped, pleasant home like atmosphere.

We could not provide this caliber of services without our dedicated employees. We value their contributions and work hard to attract and retain the best talent by offering a positive and supportive work environment along with competitive pay, nice perks, and great benefits.

We are an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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