Referral Coordinator – Continence Care
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Job Description
Referral Coordinator processing healthcare referrals and insurance verification for Comfort Medical’s catheter and ostomy supplies. Maintaining medical records, customer accounts, and order documentation.
Responsibilities:
- Create and process referrals from healthcare providers and other referral sources in the customer management database
- Validate medical files and scan documentation into customer accounts
- Verify patients’ insurance benefits by contacting insurance companies and document account information
- Process leads from external departments and complete required documentation
- Organize, update, review, and validate customer records
- Complete inbound and outbound telephone calls related to referrals
- Verify insurance benefits for new, existing, changed-insurance, and reactivated patients
- Record clear summaries of insurance information received from carriers
- Review medical records for missing documentation and verify diagnoses and signatures
- Obtain corrections and missing signatures within required timeframes
- Ensure file accuracy and scan documents into the system
- Research and resolve customer order issues with healthcare providers and insurers
- Communicate outcomes to relevant stakeholders
- Update company database records according to Corporate Compliance Guidelines
- Maintain knowledge of policies, procedures, and required skills
- Meet or exceed quality and quantity performance standards
- Support departmental goals through assigned tasks and continued training
- Follow housekeeping, quality, safety, ethical, and corporate policy requirements
- Perform other duties as assigned
Requirements:
- High school diploma or equivalent
- Minimum of one-year experience in a contact center
- English/Spanish bilingual preferred
- Willingness to engage in telephone direct sales
- Ability to take initiative and work independently
- Ability to interpret instructions and guidelines to make decisions and take necessary actions
- Ability to follow complex instructions and guidelines to address specific problems
- Ability to navigate between different computer systems
- Ability to apply instructions and/or guidelines appropriately
- Ability to maintain composure during stressful situations
- Ability to communicate effectively verbally and in writing
- Ability to determine work priorities
- Ability to work independently to achieve established goals and objectives
- Skilled typing ability
- Knowledge of personal computers, hardware, software, Microsoft Office Suite, and related applications and systems
- Availability and flexibility to work changing schedules, including nights and weekends
Benefits:
- Comprehensive medical, dental, and vision insurance plans
- Company-sponsored wellness programs and mental health resources
- Paid leave of absence for qualifying events
- Generous paid parental leave for birthing and non-birthing parents
- Competitive 401(k) plan with company match, vesting immediately
- Financial planning services
- Corporate discount programs
- Generous paid time off
- Flexible work hours
- Flexible work arrangement options may be available
- Training programs
- Mentorship
- Tuition reimbursement
- Recognition programs, including peer recognition
- Bonuses
- Awards and special events
- Team-building activities
- Volunteer opportunities
- Company-sponsored events
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