Referral Coordinator

| Northwest Suburbs +80 more | Remote
Employer Provided Salary: $18-$20 Annually
Salary data is provided by the employer. Please note this is not a guarantee of compensation.
Sorry, this job was removed at 7:34 p.m. (CST) on Wednesday, December 20, 2023
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Arcadia is dedicated to happier, healthier days for all. We transform diverse data into a unified fabric for health. Our platform delivers actionable insights for our customers to advance care and research, drive strategic growth, and achieve financial success. For more information, visit arcadia.io.


Why This Role Is Important to Arcadia


In this position you will be working with a team of independent and autonomous Referral Coordinators within the Intake Department to break down barriers and ensure quality and timely care. In collaboration with your teammates, you will strive for continuous improvement and an excellent work-life balance to produce top-notch results.


What Success Looks Like

In 3 months

- Team member should be able to understand how to navigate referral episodes in the internal documentation system and be able to assist 20-30 customers per day with assistance

- Understanding their daily functions such as navigating the call queue, answering phone calls and assisting customers with entry-level questions


In 6 months

- Team member should feel very confident with their call queues and be able to assist 20-30 customers per day with accurate information provided

- Able to take on more responsibilities such as learning Claims and Eligibility basics and troubleshooting issues with complex cases


In 12 months

- Team member should be able to assist 20-30 customers accurately, have excellent knowledge of each department processes and guidelines, trouble shoot and help others in the department, confident in handling phone calls and providing the correct information to our clients

What You'll Be Doing

  • Interpreting referral and pre-certifications complying with multiple sets of protocols which are built in the application
  • Maintains and manages strict confidentiality of all information, whether received directly or indirectly as it relates to health care services
  • Enter referral and pre-certification calls into software program accurately
  • Answer phone calls as well as make phone calls
  • Responsible for expediting calls to ensure accuracy and timeliness of referral and pre-certification authorizations
  • Assists physician offices and providers with referral and pre-certification questions
  • Works with Customer Service, Provider Relations and Claims staff to clarify or rectify discrepancies between referrals, pre-certifications and claims
  • Adheres to all audit procedures
  • Performs other duties as assigned

What You'll Bring

  • Knowledge of medical terminology
  • Preferred medical office experience
  • One years' experience in managed care with referral interpretation
  • Knowledge of medical coding; including ICD-10, HCPC's and CPT codes
  • Able to adapt to different situations and multitask
  • Must have ability to work independently, maintain organization and meet deadlines
  • Highly skilled in verbal and written communication
  • Able to problem solve, exercise initiative and make decisions
  • Able to communicate clearly and work effectively with co-workers, management, physicians, members, vendors and customers

Would Love For You To Have

  • Knowledge of Excel basic function and PDF Converter and/or Adobe Pro
  • Positive disposition
  • Hardworking
  • Eager to learn
  • Very dependable
  • Works well with others

What You'll Get

  • Flexible hours, working remote, collaborating with a great team!
  • Be a part of a mission driven company that is transforming the healthcare industry by changing the way patients receive care
  • A flexible, remote friendly company with personality and heart
  • Employee driven programs and initiatives for personal and professional development
  • Be a member of the Arcadian and Barkadian Community 

This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.


About Arcadia

Arcadia.io helps innovative healthcare systems and health plans around the country transform healthcare to reduce cost while improving patient health. We do this by aggregating massive amounts of clinical and claims data, applying algorithms to identify opportunities to provide better patient care, and making those opportunities actionable by physicians at the point of care in near-real time. We are passionate about helping our customers drive meaningful outcomes. We are growing fast and have emerged as the market leader in the highly competitive population health management software and value-based care services markets, and we have been recognized by industry analysts KLAS, IDC, Forrester and Chilmark for our leadership. For a better sense of our brand and products, please explore our website, our online resources, and our interactive Data Gallery.


This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.

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Candidate Location Eligibility:
Albuquerque, NM
Ann Arbor, MI
Atlanta, GA
Austin, TX
Baltimore, MD
Baton Rouge, LA
Birmingham, AL
Boise, ID
Boston, MA
Buffalo, NY
Charleston, SC
Charlotte, NC
Chicago, IL
Cincinnati, OH
Cleveland, OH
Colorado, CO
Columbus, OH
Dallas-Fort Worth, TX
Dayton, OH
Des Moines, IA
Detroit, MI
Fayetteville-Springdale-Rogers, AR
Greensboro, NC
Hampton Roads, VA
Hartford, CT
Houston, TX
Huntsville, AL
Indianapolis, IN
Jacksonville, FL
Kansas City, MO
Las Vegas, NV
Lexington, KY
Lincoln, NE
Little Rock, AR
Los Angeles, CA
Louisville, KY
Madison, WI
Memphis, TN
Miami, FL
Milwaukee, WI
Minneapolis–Saint Paul, MN
Nashville, TN
New Orleans, LA
New York City, NY
Ogden, UT
Oklahoma City, OK
Omaha, NE
Orlando, FL
Other US Location
Palm Bay-Melbourne-Titusville
Pensacola, FL
Peoria, IL
Philadelphia, PA
Phoenix – Mesa – Scottsdale, AZ
Pittsburgh, PA
Portland, ME
Portland, OR
Providence, RI
Provo, UT
Raleigh-Durham, NC
Reno, NV
Richmond, VA
Rochester, NY
Sacramento, CA
Salt Lake City, UT
San Antonio, TX
San Diego, CA
San Francisco, CA
San Luis Obispo, CA
Santa Cruz, CA
Seattle, WA
Spokane, WA
St. Louis, MO
Tallahassee, FL
Tampa Bay, FL
Tucson, AZ
Tulsa, OK
Washington DC
Wichita, KS
Wilmington, NC

Technology we use

  • Engineering
  • Product
  • Sales & Marketing
  • People Operations
    • C#Languages
    • C++Languages
    • ElixirLanguages
    • GolangLanguages
    • JavaLanguages
    • JavascriptLanguages
    • PythonLanguages
    • RubyLanguages
    • ScalaLanguages
    • SqlLanguages
    • TypeScriptLanguages
    • ChatGPTLanguages
    • jQueryLibraries
    • jQuery UILibraries
    • ReactLibraries
    • ReduxLibraries
    • AngularFrameworks
    • Angular.JSFrameworks
    • ASP.NETFrameworks
    • DockerFrameworks
    • GraphQLFrameworks
    • HadoopFrameworks
    • KafkaFrameworks
    • KubernetesFrameworks
    • Node.jsFrameworks
    • OAuthFrameworks
    • React NativeFrameworks
    • Ruby on RailsFrameworks
    • SparkFrameworks
    • SpringFrameworks
    • TensorFlowFrameworks
    • TerraformFrameworks
    • Vue.jsFrameworks
    • AccessDatabases
    • AWS RedshiftDatabases
    • CassandraDatabases
    • DynamoDBDatabases
    • ElasticsearchDatabases
    • HiveDatabases
    • Microsoft SQL ServerDatabases
    • MongoDBDatabases
    • NoSQLDatabases
    • PostgreSQLDatabases
    • SnowflakeDatabases
    • HadoopDatabases
    • AWS (Amazon Web Services)Services
    • GitHubServices
    • GitLabServices
    • Google AnalyticsAnalytics
    • FigmaDesign
    • IllustratorDesign
    • PhotoshopDesign
    • PixelmatorDesign
    • AirtableManagement
    • AsanaManagement
    • BasecampManagement
    • ConfluenceManagement
    • Google DocsManagement
    • JIRAManagement
    • SmartsheetManagement
    • WordpressCMS
    • UserGemsCMS
    • Definitive CMS
    • DocuSignCRM
    • HubSpotCRM
    • LinkedIn SalesNavigatorCRM
    • SalesforceCRM
    • Salesforce CPQCRM
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    • HubspotEmail
    • HubspotLead Gen
    • Microsoft TeamsCollaboration
    • SlackCollaboration
    • Ring CentralCollaboration
    • BoxCollaboration
    • OneDriveCollaboration

An Insider's view of Arcadia

What's something quirky about your company?

Arcadia's Got Talent (AGT) is an annual talent show that I won last year. The best part about AGT was that it encouraged me to work on something I am passionate about outside of work. All of the entries were amazing & I think it's really awesome that the company does things to bring people together and celebrate our passions outside of the office.

Gary

Engineering Manager

What does your typical day look like?

Every day is a little bit different, which I really love and helps keep me engaged! Most days I have a combination of phone screens and meetings with my hiring managers or team. I also help manage a lot of our brand partnerships that have projects through out the year and play a part in helping construct Arcadia's company culture as we scale.

Julie

Talent Acquisition Manager

How has your career grown since starting at the company?

When I first came to Arcadia, I was the only person in my department, filling a brand-new role. In my 8 years here, my career has grown rapidly. I am now a Sr Manager of a department of 9, building the auditing program from the ground up and am known as a go-to person within the Value Based Care Services

Beth

Director, Contractual Oversite and Performance

How do you make yourself accessible to the rest of the team?

It's as easy as making time. I meet with my team members for one on ones to understand where their stressors are. Sometimes it's personal and I support with flexibility, time, or PeopleOps other times it's professional and these I tactically work with the team to coach or intervene.

Geo

Director, Engineering

How does the company support your career growth?

Arcadia is incredibly generous when it comes to career growth. I receive regular mentorship from my manager and leadership team. I also have a continuing education stipend that I use to take courses and attend conferences to further my skillset. My career path is mapped out and regularly adjusted with my professional interests and personal growth.

Mike

Senior Manager, Content

What are Arcadia Perks + Benefits

Arcadia Benefits Overview

We leverage cutting-edge technologies to enhance our work environment. From advanced collaboration tools to virtual reality experiences, we embrace technology to streamline processes and enhance the overall employee experience.

We offer industry leading benefits including unlimited vacation that Arcadians are able to use to ensure their work life balance. Work alongside and learn from highly skilled and experienced coworkers and teams.

Annual wellness program encourages fitness as a habit. Ongoing learning opportunities to enhance skills and advance careers.

Our commitment is to create a workplace where employees feel supported, valued, and empowered in all aspects of their professional and personal lives.

Your innovative spirit is not just appreciated; it's celebrated.

Culture
Volunteer in local community
We have a compassion club that raises money throughout the year and organizes annual Toys for Tots Drives and Breast Cancer Awareness fundraising programs.
Partners with nonprofits
Open door policy
OKR operational model
Open office floor plan
Employee resource groups
Employee-led culture committees
Flexible work schedule
Remote work program
Diversity
Highly diverse management team
Mandated unconscious bias training
Diversity employee resource groups
Hiring practices that promote diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability insurance
Dental insurance
Vision insurance
Health insurance
Life insurance
Pet insurance
Wellness programs
Team workouts
Mental health benefits
Transgender health care benefits
Financial & Retirement
401(K)
401(K) matching
Performance bonus
Child Care & Parental Leave Benefits
Childcare benefits
Dependent care flexible spending account plan
Generous parental leave
Family medical leave
Fertility benefits
Vacation & Time Off Benefits
Unlimited vacation policy
Generous PTO
Paid holidays
Paid sick days
Flexible time off
Bereavement leave benefits
Office Perks
Commuter benefits
Mass transit and parking FSA plans
Company-sponsored outings
Free snacks and drinks
Some meals provided
Company-sponsored happy hours
Fitness stipend
This is a medical plan perk
Home-office stipend for remote employees
Professional Development Benefits
Job training & conferences
Lunch and learns
Promote from within
Continuing education available during work hours
Online course subscriptions available
Customized development tracks
Paid industry certifications
Personal development training

Additional Perks + Benefits

At Arcadia we create programs and opportunities that allow connection with one another and bridge the work from home gap. We host themed events, contests with prizes, and provide resources for shared personal and professional interests. We have "No Meeting Fridays" to allow employees time for deep focus work and planning.

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