Overview Care Coordinator role at ChenMed. The position is a highly visible customer service and patient-focused role. The coordinator works directly with patients and families to authorize, schedule, and ensure completion of patient visits with specialty care. This includes coordinating with insurance representatives and outside vendors, arranging transportation, communicating with physicians, clinicians and other medical personnel, and other entities necessary for successful completion of approved referrals.
We’re unique. You should be, too. We’re changing lives every day for both our patients and our team members. If you are innovative, entrepreneurial-minded, and have a strong work ethic, you could be a good fit for our rapidly expanding team.
Responsibilities Serve as primary point of contact for incoming and outgoing patient referrals. Triage referrals, gather necessary information, ensure timely processing, and assign to appropriate providers.
Facilitate communication, collaboration, and coordination of care across primary care, specialists, hospitals, and other healthcare settings to ensure seamless transitions and continuity of care.
Schedule patients using the coordinated provider list (CPL), arrange appointments, and notify patients of date, time, and location.
Use web-based insurance platforms to generate referral authorizations.
Communicate physicians/clinicians needs or outstanding items to patients.
Follow referrals through to completed appointments and obtain all documentation for upload into the medical record system prior to PCP follow-up.
Reschedule missed external appointments and inform the PCP.
Address referral-related phone calls from patients, providers, and others promptly.
Provide extraordinary customer service to internal and external customers.
Perform other related duties as assigned.
Knowledge, Skills And Abilities Knowledge of medical terminology, CPT, HCPCS and ICD coding is desired.
Understanding of the company’s patient population, including Medicare program complexities.
Exceptional organizational skills with the ability to prioritize and complete tasks in a timely manner.
Detail-oriented with the ability to multi-task.
Professional phone etiquette and ability to navigate computer software systems effectively.
Ability to work well with patients, colleagues, physicians and other personnel in a professional manner.
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and database/presentation software.
Spoken and written English fluency; bilingual is a plus.
Education And Experience Criteria High school diploma or equivalent required.
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.
ChenMed is transforming healthcare for seniors with a family-owned, physician-led approach. We offer compensation, comprehensive benefits, career development, and opportunities for growth. Join our team to make a difference in people’s lives every day.