Referral Coordinator - New Orleans, LA - ChenMed

ChenMed New Orleans, LA

6 days ago

Description

Job Description

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 us.

The Referral Coordinator Role

The Referral 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.

This role 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.
Prioritizes HPP patients in Primary Care Physicians' panels, expedites and orders over 5 days.
Schedules patient appointments 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 offices and 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 patients.
Enters all Inpatient and Outpatient elective procedures in HITS tool.
Ensures patients' external missed appointments 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' panels.
Completes and addresses phone messages within 24 hours of call.
Checks out patients based on their assigned physician/clinician.
Retrieves consultation notes from the consult tracking tool.
Follows up on all Home Health and DME orders to ensure patients receive services ordered.

Knowledge, Skills and Abilities:

Knowledge of medical terminology, CPT, HCPCS and ICD coding desired.
Detail-oriented with the ability to multi-task.
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.

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.

About Us

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 healthcare.

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.

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