ChenMed

High-touch primary care for underserved seniors

Referral Coordinator

Clinical Support & Patient AdministrationPosted on Nov 11

Full-timePhiladelphia, PA, USAIn-person

About the Job

Requirements

Knowledge of medical terminology, CPT, HCPCS, and ICD coding is desired.
An understanding of the patient population, including the complexities of Medicare programs, is required.
Exceptional organizational skills and the ability to prioritize and complete tasks in a timely manner are required.
Attention to detail and the ability to multitask are required.
Proper phone etiquette is required.
The ability to navigate computer software systems and use technology is required.
The ability to work professionally with patients, colleagues, physicians, and other personnel is required.
Proficiency in Microsoft Office Suite products, including Word, Excel, PowerPoint, and Outlook, as well as database and presentation software, is required.
Spoken and written fluency in English is required.
Flexibility to work evenings, weekends, and/or holidays as needed is required.
A high school diploma or equivalent is required.
At least one year of referral experience in a healthcare setting is required.

Responsibilities

Serve as the primary point of contact for incoming and outgoing patient referrals by triaging referrals, gathering necessary information, and ensuring timely processing and assignment to appropriate providers.
Facilitate communication, collaboration, and coordination of care, including appointments, referrals, and transitions between primary care, specialists, hospitals, and other healthcare settings to support continuity of care.
Schedule patients using the coordinated provider list, make necessary appointment arrangements, and notify patients of appointment dates, times, and locations.
Use web-based insurance platforms to generate referral authorizations.
Communicate physicians’ and clinicians’ needs or outstanding items to patients.
Follow referrals through to completed appointments, obtain related documentation, and upload it to the organization’s medical record system for physician review before the primary care provider follow-up appointment.
Ensure missed external appointments are rescheduled and communicated to the primary care provider.
Address referral-related phone calls from patients, providers, and others, and complete and address phone messages in a timely manner.
Provide customer service to internal and external customers.
Perform other related duties as assigned.

Desired Qualifications

Bilingual ability is preferred.
Experience with web-based insurance sites and obtaining referrals or authorizations for multiple payors is preferred.
Experience with Web IVRs and obtaining referrals or authorizations for multiple payers is strongly preferred.
Healthcare experience with the Medicare Advantage population is preferred.
Medical Assistant certification is preferred.
CPR for Healthcare Providers is preferred.

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. They work directly with the organization’s patient population and their families to authorize, schedule, and ensure completion of patient visits with specialty care. This includes working with insurance representatives and outside vendors, arranging transportation, communicating with physicians, clinicians and other medical personnel, and any other entities necessary for successful completion of approved referrals.

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, SKILLS AND ABILITIES:

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.
Flexible to work evening, weekends and/or holidays as needed

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

PAY RANGE:

$17.0 - $24.26 Hourly

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

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 employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Onsite

About the Company

ChenMed

High-touch primary care for underserved seniors

ChenMed provides primary care for underserved, moderate-to-low-income seniors with complex chronic diseases through a network of 100+ centers across 15 states. Its high-touch, preventive primary care model emphasizes longer visits and closer patient relationships, enabled by a lower doctor-patient ratio and physician-led operations. This approach distinguishes it from typical primary care providers by offering more time per patient, personalized care, and a mission-driven culture. ChenMed aims to improve health outcomes and lives by delivering accessible, patient-centered care while transforming how care is delivered to needy seniors.

Company size: 1,001-5,000
Company stage: Grant
Total funding: $300K
Headquarters: Miami Gardens, FL
Founded: 1985

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