Referral Coordinator-Bilingual Spanish

Posted 6 Hours Ago
Be an Early Applicant
South Chicago, IL
Entry level
Healthtech
The Role
The Referral Coordinator is responsible for coordinating patient referrals, scheduling appointments with specialists, processing authorizations, and maintaining communication with patients, physicians, and external vendors to ensure quality healthcare delivery. The role emphasizes customer service, accuracy in referral completion, and effective multitasking in a dynamic environment.
Summary Generated by Built In

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 our team.

The Care Coordinator is a highly visible customer service and patient-focused role that works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare to our members.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Coordinates and processes patient referrals to completion with precision, detail and accuracy.

Definition of completion:

  • Prioritizes HPP patients in Primary Care Physicians panel, stats, expedites and orders over 5 days.
  • Orders have been approved (when needed).
  • Schedules patient (Preferred Providers List of Specialist) 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 office & confirmed receipt.
  • Prepares and actively participates during physician/clinician daily huddles utilizing RITS Huddle Portal and huddle guide. Communicates effectively the physicians/clinicians needs or outstanding items regarding to patients. 
  • Enters all Inpatient and Outpatient elective procedures in HITS tool.
  • Ensures patient's external missed appointment 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 panel.
  • Completes and addresses phone messages within 24 hours of call.
  • Checks out patients based on their assigned physician/clinician. (Note: If assigned Care Coordinator is unavailable at the time of check out, a colleague shall assist patient. This process does not apply to Care Specialist) 
  • Retrieves consultation notes from the consult tracking tool.
  • Follows up on all Home Health and DME orders to ensure patient receives services ordered.
  • Provide extraordinary customer service to all internal and external customers (including patients and other
  • ChenMed Medical team members) at all times. Utilization of patient messaging tools.
  • Performs other related duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

  • Must be detail-oriented, possess the ability to multi-task and be open to cross-functionally training in referrals duties.
  • The individual in this role must exercise proper phone etiquette and have the ability to navigate proficiently through computer software systems.
  • Must be team-oriented and 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. Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred.

EDUCATION AND EXPERIENCE CRITERIA:

  • High School diploma or equivalent required.
  • Up to one (1) year of relevant work experience required. Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred. Healthcare experience in a clinical setting, preferably within the Medicare HMO population is a plus.
  • CPR for Healthcare Providers is preferred. A valid driver's license in State of employment is required; position may require travel within the market.

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 health care.

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. Join our team who make a difference in people’s lives every single day.

Current Employee apply HERE

Current Contingent Worker please see job aid HERE to apply

The Company
HQ: Miami Gardens, FL
1,492 Employees
On-site Workplace

What We Do

ChenMed brings concierge-style medicine and better health outcomes to the neediest populations – moderate-to-low income seniors with complex chronic diseases. Operating over 50 medical centers in eight states, we are known to our patients as Dedicated Senior Medical Center, Chen Senior Medical Center, or JenCare Senior Medical Center.

Through our innovative operating model, physician-led culture and empowering technology, we drive key quality and cost outcomes that create value for patients, physicians and the overall health system. By recruiting focused physicians and reducing their doctor-to-patient ratios, we increase patients’ “face time” during each monthly appointment and help foster stronger doctor-patient relationships.

Results of our high-touch approach to primary care are impressive, as illustrated in the recent Modern Healthcare cover story published on Oct. 20, 2018, which reports that: “Indeed, ChenMed's approach has resulted in 50 percent fewer hospital admissions compared with a standard primary-care practice, 28 percent lower per-member costs, and significantly higher use of evidence-based medications.”

Similar Jobs

McCain Foods Logo McCain Foods

Director, North America Health & Safety

Food • Retail • Agriculture • Manufacturing
Oakbrook Terrace, IL, USA
20000 Employees

McCain Foods Logo McCain Foods

Manager Insights

Food • Retail • Agriculture • Manufacturing
Oakbrook Terrace, IL, USA
20000 Employees

McCain Foods Logo McCain Foods

Sr Manager Innovation

Food • Retail • Agriculture • Manufacturing
Oakbrook Terrace, IL, USA
20000 Employees

McCain Foods Logo McCain Foods

Manager, Global Procurement Sustainability

Food • Retail • Agriculture • Manufacturing
Oakbrook Terrace, IL, USA
20000 Employees

Similar Companies Hiring

Sage Thumbnail
Software • Healthtech • Hardware • Analytics
New York, NY
44 Employees
Zealthy Thumbnail
Telehealth • Social Impact • Pharmaceutical • Healthtech
New York City, NY
13 Employees
Cencora Thumbnail
Pharmaceutical • Logistics • Healthtech
Conshohocken, PA
46000 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account