Referral Coordinator - Healthcare

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.

NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.

The role of the Referral Coordinator is to facilitate consistency of information shared across practices to promote care coordination and effective member co-management for behavioral and non-behavioral practitioners.

The Referral Coordinator job description is intended to point out major responsibilities within the role, but it is not limited to these items.

Prioritizes assigned patient cohorts to ensure specialty referral completion and ensures stat and expedited referrals are completed based on timeliness standards.

Ensures specialist notifications of referral status.

Enters all Inpatient and Outpatient elective procedures in EMR and contacts specialists for post-procedure referral needs.

Completes appropriateness review based on clinical protocols and appropriately refers to Nurse or Medical Director

Addresses referral-based phone calls for Primary Care Physicians panel and completed phone messages timely.

Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.

High School Diploma

Minimum 2 years of experience in medical management.

Capacity to interpret health plan benefit decisions.

Certification as a Medical Assistant preferred.

The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Some travel may be required.

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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