Referral Coordinator, Supervisor
Company: ChenMed
Location: Chicago
Posted on: April 2, 2025
Job Description:
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 Supervisor,
Referrals 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 JOB
DUTIES/RESPONSIBILITIES:
- Provides extraordinary customer service to all internal and
external customers (including patients and other Chen Medical team
members) at all times.
- Manages, coaches and provides training to Care Coordinators;
ensures they are following company processes. Training can also
include other roles as needed.
- Implements new processes per Referral COE.
- Conducts monthly Care Coordinator meetings and weekly visits to
medical centers.
- Assists Care Coordinators with solving issues pertaining 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.
- Communicates alternative/approvals to Referral
Coordinator.
- Follows up with MMD/Specialist/MND if no response after
24hours.
- Calls and follows up with patients regarding alternatives; uses
messaging scripts to speak with patients regarding
alternatives.
- Processes New Patient Referral Exception from Sales Team (if
applicable to your market).
- Prepares and runs 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 regard to PPL providers.
- Analyzes Referral Workflow Report.
- Generates Weekly Analysis Report and send to Care
Coordinators.
- Builds and maintains effective long-term relationships and
higher level of satisfaction with key specialists with support from
network director or associate director.
- Conducts site visits to service providers, resolves issues,
educates staff/providers on policies and certifies specialists with
support of network director or associate director.
- Establishes consistent and strong relationships with
specialists' provider offices.
- Collaborates with network leaders to identify network
gaps.
- Identifies root cause of problems and trends; participates in
developing solutions.
- Works with provider's and organization staff to resolve the
issue and monitor recurrence.
- Ensures all elective procedures are entered into HITS
prospectively.
- Works with tier2/tier 3 specialist to make sure our patients
are seen working with the Network Director when necessary.
- Looks for trends and referral patterns -work with Network
Director- Example: overutilization and dissatisfaction.
- Manages Specialist Schedules- Open, close and blocks schedules
when advised by Network Director to do so.
- Covers for Care Coordinator as needed.
- When needed meet with specialist office and Network
Director.
- Manages time for Care Coordinators with Center Managers.
- Maintains PPL in conjunction with Network Director.
- Other duties as assigned and modified at manager's discretion.
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 parts A, B and
D
- Proficient in Microsoft Excel, Outlook and Word
- Written and oral fluency in English
- 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 EDUCATION AND EXPERIENCE CRITERIA:
- Bachelor's degree preferred; relevant, equivalent experience
may be substituted for education on a year-for-year basis
- Minimum five (5) years' supervisory experience of teams greater
than three (3) employees
- Experience working with Physicians and Directors on a daily
basis
- Experience reviewing data and making decision based of the
data
- Experience working in Medicare managed care environment
- $52,775/$75,393 Salaried
- Employee Benefits 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 Current Contingent Worker please see job aid
HERE to apply
Keywords: ChenMed, Chicago , Referral Coordinator, Supervisor, Other , Chicago, Illinois
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