Join to apply for the Care Coordinator role at ChenMed
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 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.
Responsibilities
Coordinates and processes patient referrals to completion with precision, detail and accuracy.
Prioritizes HPP patients in Primary Care Physicians panel, statistics, expedites and orders over 5 days (where applicable).
Ensures orders are approved when needed and informs patients of appointment information (date, time, location).
Schedules patients (Preferred Providers List of Specialist) and notifies them of appointment details.
Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and other approved web IVR for authorization processing).
Completes orders with proper documentation on scheduling and patient notification.
Ensures referrals are sent to specialist offices and confirms receipt.
Prepares and actively participates during physician/clinician daily huddles utilizing the RITS Huddle Portal and huddle guide, communicating needs or outstanding items regarding patients.
Enters all inpatient and outpatient elective procedures in the HITS tool.
Reschedules external missed appointments and communicates with the physician/clinician.
Participates in Super Huddle and provides updates on high-priority patient referrals.
Addresses referral-based phone calls for the Primary Care Physicians panel.
Completes and addresses phone messages within 24 hours of receipt.
Checks out patients based on their assigned physician/clinician; if unavailable, a colleague assists (note: this does not apply to Care Specialist).
Retrieves consultation notes from the consult tracking tool.
Follows up on Home Health and DME orders to ensure services are delivered as ordered.
Provides extraordinary customer service to all internal and external customers, including ChenMed Medical team members, utilizing patient messaging tools.
Performs other related duties as assigned.
Knowledge, Skills and Abilities
Detail-oriented with the ability to multi-task and cross-train in referrals duties.
Strong phone etiquette and proficient navigation through computer software systems.
Team-oriented with the ability to work well with patients, colleagues, physicians and other personnel in a professional and courteous manner.
Exceptional organizational skills with the ability to prioritize and complete tasks in a timely manner. Knowledge of medical terminology, CPT, HCPCS and ICD coding is preferred.
Fluency in English (spoken and written); bilingual preferred.
Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and general software systems; ability to use technology effectively.
Education and Experience Criteria
High School diploma or equivalent required.
Minimum 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.
About ChenMed
ChenMed is transforming healthcare for seniors and changing America’s healthcare for the better. We are family-owned and physician-led, growing rapidly to extend our high-quality care to more communities. We offer competitive compensation, comprehensive benefits, and opportunities for career development and advancement, with a focus on work-life balance.
Current Employee apply here. Current Contingent Worker please see job aid to apply.