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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 Referral Manager is a customer-service and leadership-focused position working directly with patients and their families, insurance representatives, doctors and other medical personnel in a dynamic and professional environment to provide the highest level of quality healthcare to all patients.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

+ Provides extraordinary customer service to all internal and external customers (including patients and other Chen Medical team members) at all times.

+ Manages, coach and provide training to Referral Coordinators.

+ Assures referral coordinators are following company processes.

+ Implements new processes per Referral COE.

+ Conducts Monthly Referral Coordinator meetings.

+ Assists referral coordinators with solving issues as it pertains to referrals.

+ Collaborates with Office Managers to conduct performance evaluations of Referrals Team Members.

+ Addresses / resolves any customer-service issues.

+ Works closely with the Management Team and Administrators in relation to strategic business planning.

+ Manages Referral Approval Process- Use Referral Approval Process Checklist.

+ Manages and Review Notification Emails, ensure email notifications are accurate.

+ Generates approval email- Follow approval email template with details for approval.

+ Responds to Workflow requests- Communicate alternative/approvals to Referral Coordinator.

+ Follows up with MMD/Specialist/MND if no response after 24hours.

+ Calls and Follows up with patients in regards to alternatives- Use messaging scripts to speak with patients in regards to alternatives.

+ Other responsibilities may include:

+ Processes New Patient Referral Exception from Sales Team (if applicable to your market).

+ Prepares and run referral team meeting- Create agenda for meeting. Gather info from Medical Director /Network Director /Referral Manager.

+ Prepares Referral Team Meeting Minutes and send minutes to Operation Director, Market Medical Director, Market Network Director and Referral COE via email after meetings.

+ Communication with Network Director regards to PPL- Report any errors, concerns or feedback in regards to PPL providers.

+ Trains Referral Managers (if applicable to your market) - Evaluate and recommend.

+ Analyzes referral reports.

+ Referral Workflow Report.

+ Referral to Order Report.

+ Generates Weekly Analysis Report and send to Referral Coordinators.

KNOWLEDGE, SKILLS AND ABILITIES:

+ Knowledge of products, services, standards, policies and procedures in a healthcare environment.

+ Network Management experience/understanding.

+ Understanding of cost as it relates to Medicare part A and B.

+ Skill in oral communication (English required).

+ Ability to effectively communicate with employees, patients and other individuals in a professional and courteous manner.

+ Ability to pay close attention to detail and to ensure accuracy of reports and data.

KNOWLEDGE, SKILLS AND ABILITIES:

+ Understanding of the communities served by ChenMed, including the complexities of Medicare programs to patients in the healthcare marketplace

+ Ability to determine proper resolution of problems based on defined alternatives

+ Able to use Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook

+ Ability and willingness to travel locally and regionally up to 50% of the time

+ Spoken and written fluency in English

EDUCATION AND EXPERIENCE CRITERIA:

+ High School diploma or GED required

+ One (1) to three (3) years of healthcare experience such as care coordinator, referral coordinator in a clinical setting, preferably within the Medicare HMO population

PAY RANGE:

$49,871 - $71,243 Salary

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 Employee apply HERE (https://careers.chenmed.com/i/us/en/homerevisited)

Current Contingent Worker please see job aid HERE to apply

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