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. 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. He/She 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.
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. Effectively communicates 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:
- Knowledge of medical terminology, CPT, HCPCS and ICD coding desired
- Detail-oriented with the ability to multi-task. Must be open to cross-functionally training in referrals and back office duties
- 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 relevant work experience in customer service, patient referrals, and/or insurance verification 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
- Medical Assistant certification preferred
- CPR for Healthcare Providers is preferred
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
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.”
