Caremax Medical Centers is seeking a Referral Coordinator to function in a high public contact in a respectful and professional manner with patients, staff and providers. The successful candidate will operate within the position established chain of command and consistently observe; adhere to the clinic hour of operation; be flexible and supportive of the clinics work demand, trends and changes.
Responsibilities
Duties may include, but are not limited to:
- The Referral Coordinator schedules, problem solve, communicates, and coordinates referral appointments with outside specialists upon receipt of the Referral Order from designated Caremax Provider. Reviews, screens, and distributes incoming faxes accordingly.
- Tracks and enters all referral requests in the Referral Management System (EMR) and Insurance Electronic System on a daily basis.
- Coordinates with the clinical staff to track the status of all provider reports on patients referred to hospitals, outside clinics and Specialty Providers and follows up for reports/records not received on referred patients.
- Maintains an accurate records of external referral patient’s appointments that are kept, failed, and current status in the Referral Management System (EMR) for outstanding, provider reports that are (30 days or more old), and follows-up with the appropriate provider.
- Ensures that all referral forms are sent to health records in a timely manner, after assigned actions are completed.
- Provides Intensive tracking and follow-up on all patient’s referral orders. Documents efforts to reschedule patients and provide documentation in EMR/Referral Management Data base, as appropriate.
- Emails/Faxes authorization referral forms and requested records that are obtained from NextGen, including all required documents will be attached to the referral form and sent to the patient’s Specialist in preparation for the visit.
- Routinely makes reminder phone calls, reminder to referral patients in advance of appointment with outside providers.
- Responds to in-house provider and clinical staff questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status.
- Provides transportation consultation, coordination and support to clinic patients referred to specified health care facilities.
- Answers, responds and documents phone calls, request and questions from patients in a timely manner. Calls must be accurately managed or redirect as appropriate.
- Assemble information concerning patient’s clinical background and referral needs.
- Per referral guidelines, provides appropriate clinical information to specialist.
- Ensures that referrals are addressed in a timely manner.
- Verifies insurance information for referral purposes and process insurance information for referral patients.
Qualifications & Education
- Minimum 2 years’ experience in a medical setting (required)
- Three years of office clerical experience; or an approved combination of education and experience.
- High School diploma, Certificate of Attendance, Certificate of Completion, GED, or equivalent is required.
- Working knowledge of Microsoft Office applications.
- Practice Management Software Experience.
- Excellent communication skills.
- Medical terminology knowledge preferred.
- Bilingual English and Spanish (required).
Note: This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.
No Third Party Agencies or Submissions Will Be Accepted.
Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP
Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.
Please apply on our company webpage https://www.caremax.com/careers/
CareMax provides equal employment opportunity to all applicants and employees. No person is to be discriminated against in any aspect of the employment relationship due to race, religion, color, sex, age, national origin, disability status, genetics, citizenship status, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Job Type: Full-time
Benefits:
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
Schedule:
- Monday to Friday
Education:
- High school or equivalent (Preferred)
Experience:
- Medical Setting: 2 years (Preferred)
Language:
- English and Spanish (Required)
Work Location: One location
Source: Indeed.com
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