Job description

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives.

The Referral Coordinator position has a Monday - Friday schedule in the 1st shift and the starting pay is between $19-$21/hr. This position is temp to hire.
Job Duties:

• Process referral requests received and assigned referral queue using Auto Approval List. Pend nurse and Medical Director review to appropriate referral requests timely to ensure compliance is maintained. Complete daily referral assignments received by fax, phone or portal etc.
• Documents all pertinent information in IDX to include medical notes, benefit information, contracted vs non contracted provider. Accurate data entry into IDX fields.
• Maintain timeliness standards by regulatory requirement for each product line.
• Maintain daily production standard based on corresponding assigned job duties set by department manager.
• Handle stat calls for assigned team on a daily basis and adhere to department standards for coverage.
• Answers all voice mail at least every hour and respond to messages within 24 hours to ensure customer satisfaction is maintained.
• Alert Nurse Reviewer of expedited requests.
• Provide notifications to providers and members within 24-72 hours or by regulatory requirements.
• Assist providers, patients and internal and external customers regarding issues related to referrals.
• Special projects as assigned which may include CCS, OIG, Unused/Expired, Fax Failure, IHA, NOMNC etc.
• Perform any additional duties that may not be inclusive in job description as requested by Management team that is within the scope of knowledge or ability of the Referral Coordinator.

Requirements:

• Minimum Education: High School Diploma required.
• Minimum Experience: Minimum of two (2) years of experience with Referral Healthplan, IPA or Medical Provider office with referral management and/or call center knowledge.
• Req. Certification/Licensure: Certified Medical Assistant preferred.

Job Types: Full-time, Contract, Temporary

Pay: $19.00 - $21.00 per hour

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Customer service: 1 year (Preferred)
• Referral Coordination: 1 year (Preferred)
• Call Center or similar: 1 year (Preferred)

Work Location: Remote

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