Clinical Referral Coordinator

Description

SUMMARY:

The Clinical Referral Coordinator provides customer service to DASCO’s referral sources and

their claimants/patients. This may include activities such as inbound/outbound call handling,

verifying insurance coverage, obtaining authorizations, securing and reviewing required

documentation, processing orders, completing follow-up and educating referrals and patients on

coverage, equipment, and supplies.

Essential Functions

• Answers inbound phone calls, responds to inquiries in a thorough, accurate, timely
  
  

and courteous manner, completes outbound follow-up calls as needed.

• Accurately completes and/or updates new patient records; gathering all necessary
  
  

demographic, medical, insurance and other data as required per policy and

procedure.

• Completes insurance verifications and obtains prior authorizations in compliance
  
  

with reimbursement guidelines, customer rules, and DASCO policy and

procedures.

• Processes orders in a timely and accurate manner per all applicable policies and
  
  

procedures, schedules deliveries, provides confirmation to referral sources. Notifies

Team Lead or Manager of issues that hinder process, unsatisfied customers, or

any other significant negative customer service circumstance.

• Accurately and clearly documents all activity in patient records. Maintains privacy
  
  

of information in compliance with HIPAA and other applicable rules and regulations.

• Secures payment or arranges payment plan whenever the opportunity presents
  
  

itself.

• Works in partnership with Referral Intake, Branch, Sales Representatives and all
  
  

other DASCO departments to support overall customer service excellence.

• Works periodic reports as assigned to complete necessary follow-up, recordkeeping and other related department functions.
• Other duties as assigned by the Manager.
  
  

Required Education And/Or Experience

• High School diploma or GED equivalent.
• Professional licensure or certification such as LPN/LVN
• Six months’ inbound customer service experience
  
  

Preferred Education And/Or Experience

• Six months’ experience in healthcare/medical/insurance/DME customer service role
  
  

Additional Qualifications

None.

Competencies

Service / client focus

Detail-oriented

Flexibility

Results driven

Stress management

Position Type/Expected Hours Of Work

This is a full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. and work at

home scheduling possible based on department need and individual performance.

Supervisory Responsibility

This position has no supervisory role.

Work Environment

This job operates primarily in a professional office environment unless employee works

at home, and routinely using standard office equipment such as computers, phones,

photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by

an employee to successfully perform the essential functions of this job.

The employee is typically required to sit; frequently stands, occasionally required to

climb or balance; and stoop, kneel, crouch or crawl. The employee must occasionally lift

and/or move up to 10 pounds and rarely lift and/or move up to 25 pounds. Specific

vision abilities required by this job include both close and distance vision, color and

peripheral vision, depth perception and ability to adjust focus.

Travel

Travel is not typically required for this position.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive

listing of activities, duties or responsibilities that are required of the employee for this

job. Duties, responsibilities and activities may change at any time with or without notice.

Eeo Statement

DASCO provides equal employment opportunities (EEO) to all employees and

applicants for employment without regard to race, color, religion, sex, national origin,

age, disability or genetics. In addition to federal law requirements, DASCO complies

with applicable state and local laws governing nondiscrimination in employment in every

location in which the company has facilities. This policy applies to all terms and

conditions of employment, including recruiting, hiring, placement, promotion,

termination, layoff, recall, transfer, leaves of absence, compensation and training.

DASCO expressly prohibits any form of workplace harassment based on race, color,

religion, gender, sexual orientation, gender identity or expression, national origin, age,

genetic information, disability, or veteran status. Improper interference with the ability of

DASCO’s employees to perform their job duties may result in discipline up to and

including discharge

Requirements

• High School diploma or GED equivalent.
• Professional licensure or certification such as LPN/LVN
• Six months’ inbound customer service experience