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 (Referral 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 JOB DUTIES/RESPONSIBILITIES:
- Serve as primary point of contact for incoming and outgoing patient referrals. Triage referrals, gather necessary information, ensure timely processing and assignment to appropriate providers.
- Facilitates communication, collaboration, and coordination of care. Coordinating appointments, referrals, transitions of care between primary care, specialists, hospitals, and other healthcare settings, ensuring seamless transitions and continuity of care.
- Schedules patients utilizing coordinated provider list (CPL), makes all necessary arrangements related to the appointment, notify patients of appointment information: date, time, and location.
- Uses web-based insurance platforms to generate referral authorizations.
- Effectively communicates the physicians/clinicians needs or outstanding items to patients.
- Follows all referrals through to completed appointment and obtains all documentation related to appointment, uploading into organization’s medical record system for physician review prior to PCP follow-up appointment.
- Ensures any missed external appointments are rescheduled and communicated to the PCP.
- Addresses referral-related phone calls from patients, providers, etc. Completes and addresses phone messages in a timely manner.
- Provides extraordinary customer service to all internal and external customers.
- Performs other related duties as assigned.
- Knowledge of medical terminology, CPT, HCPCS and ICD coding desired
- An understanding of the company's patient population, including the complexities of Medicare programs
- Exceptional organizational skills with the ability to effectively prioritize and complete tasks in a timely manner.
- An understanding of the company's patient population, including the complexities of Medicare programs
- Detail-oriented with the ability to multi-task.
- Able to exercise proper phone etiquette.
- Ability to navigate proficiently through computer software systems & use technology.
- Ability to work well with patients, colleagues, physicians and other personnel in a professional manner.
- Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software.
- Spoken and written fluency in English; bilingual preferred.
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
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.”
