Remote Referral Coordinator | WFH

Job Overview

Join our innovative healthcare organization as a Referral Coordinator, operating remotely and contributing to our mission of making healthcare accessible and affordable. We are a performance-driven company committed to enhancing patient health and empowering healthcare providers through advanced technology and analytics.

Key Responsibilities

• Interpret and manage referral and precertification requests, adhering to established protocols integrated within our systems.
• Ensure confidentiality of all healthcare-related information and data.
• Record referral and precertification details accurately within our software platform.
• Provide exceptional customer service through inbound and outbound calls.
• Expedite communication to guarantee prompt and accurate referral and precertification authorizations.
• Assist healthcare providers with inquiries related to referrals and precertification processes.
• Collaborate with Customer Service, Provider Relations, and Claims departments to resolve discrepancies.
• Comply with all audit procedures and undertake additional responsibilities as needed.
  
  

Required Skills

• 1 to 3 years of experience in customer service with a focus on referral management.
• Previous experience in a medical office or high-volume call center is preferred.
• Familiarity with medical coding (ICD-10, HCPCS, CPT) is essential.
• Strong multitasking abilities and adaptability to varied situations.
• Excellent verbal and written communication skills.
• Proficient problem-solving skills and the ability to take initiative in decision-making.
  
  

Qualifications

• Knowledge of medical terminology and HMO processes.
• Basic proficiency in Excel and familiarity with PDF Converter and/or Adobe Pro is advantageous.
• A positive attitude, strong work ethic, and eagerness to learn.
• Dependable team player who collaborates effectively with others.
  
  

Career Growth Opportunities

We are dedicated to your professional development. Our organization provides numerous resources aimed at enhancing your skills and advancing your career within our team.

Company Culture And Values

Our organization values diversity, inclusion, and a collaborative work atmosphere. We are an equal opportunity employer committed to creating a supportive environment for all employees.

Compensation And Benefits

The base pay for this role ranges from \(18.00 to \)20.00 per hour, compensated bi-weekly. We offer comprehensive Medical, Dental, and Vision plans, a 401(k) plan with employer matching, life and disability insurance, flexible time off, and paid parental leave, among other benefits. Join us and be part of a company that prioritizes your health and well-being while fostering your professional growth.

Employment Type: Full-Time