VillageMD

healthcare

ReferralCoordinator

Houston, Texas, United States; Pensacola, Florida, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Referral Coordinator at VillageMD. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement, operational processing expertise, operational processing accuracy, medical billing processes, HIPAA standards, Health Information Exchange (HIN), premier customer service, problem solving, system processing, patient advocacy, results orientation, collaboration, service orientation, empathy, patience, attention”

What You'll Achieve.

achieving all processing performance objectives; operational excellence; demonstrated track record of drive for attainment of superior outcomes

Industry & Context.

healthcare
Problems you'll solve

A problem solver who can confidently troubleshoot and investigate to answer questions or resolve complaints; solve problems with patience and understanding

Eligibility Requirements

working onsite in a central location within the market

What They're Looking For.

Must Have

Ability to work independently with a sense of focus, Task-oriented, organizational skills, ability to multitask, attention to detail

Nice to Have

Service center excellence, call center, Experience in the medical or health insurance field, Bilingual in English and Spanish, Knowledge of the healthcare industry, reviewing patient charts, insurance and medical billing processes, EMR/HIN systems

What You'll Do.

Processes necessary prior authorizations and insurance referrals as needed to complete the referral process by using payor portal or calling the payor as needed.

Answers all phone calls in a patient

and passionately communicative manner

Deliver on a commitment to solve problems with patience and understanding

providing knowledgeable and thoughtful service to exceed expectations

Coordinates medical specialty referral

and imaging for patients in a timely

Utilizes EMR and HIN system(s) to track

and document patient information ensuring accuracy

and compliance with organizational and HIPAA standards

Utilizes Authman (Authorization Manager) to execute accurate

tracking and management of patient referrals in accordance with organizational standards

Communicates information

including updates of referral requests

and communication preferences via telephone

Review patient charts and records to understand what authorizations and documentations need to be pursued

Ensure that all barriers to care (such as language

transportation restrictions

or financial needs) are addressed

and accurate documentation of all interactions with patients

and other individuals on behalf of patients

in the patient’s electronic health records

Maintains access to the Health Information Exchange (HIN) and other related systems

Maintains surveillance ticklers and/or work with Health Information Technology to proactively identify the need for patient care

Navigates patient to care

How You'll Work.

Team & Collaboration

Collaboration: orientation to team-based work product and results

Communication Scope

premier service interactions; premier service interactions without patients; patient, empathetic, and passionately communicative manner; knowledgeable and thoughtful service; Communicates information, including updates of referral requests, appointment details, and communication preferences via telephone, email, chat, and patient portal; Excellent telephone etiquette; Excellent interpersonal skills; empathy; patience; courtesy; attentiveness; expresses ideas effectively both verbally and in presentation skills

Full Job Description

# _**About Our Company**_ We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies [Village Medical](https://www.villagemedical.com/), [Village Medical at Home](https://www.villagemedical.com/village-medical-at-home), [Summit Health](https://www.summithealth.com/), [CityMD](https://www.citymd.com/), and [Starling Physicians](https://www.starlingphysicians.com/). When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. **Please Note:** We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com. # _**Job Description**_ **Home Location:** 4650 Westway Park Blvd Houston, TX 77041 **Schedule:** Monday - Friday 8am - 5pm In the role of Referral Coordinator, you will offer inbound and outbound phone support while providing operational processing expertise of clinical referrals using telephony and EMR system(s) while working onsite in a central location within the market. The ideal candidate has experience in a contact center environment and can understand the needs of others to meet those needs with great service and operational processing accuracy. Knowledge of the healthcare industry include reviewing patient charts, insurance and medical billing processes, and EMR/HIN systems preferred but not required. The ability to hav

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