CMA - Clinic
ChenMed
Jacksonville, FL
$33K-48K/yearOverview
- Start DateASAP
- SettingClinic
Pay
Benefits
- Employee assistance programs
- Medical benefits
- Holiday Pay
- Dental benefits
- Benefits start day 1
- Life insurance
- Guaranteed Hours
- Sick pay
- Vision benefits
- 401k retirement plan
- Wellness and fitness programs
- Mileage reimbursement
- Discount program
Qualifications
- Start date within 180 days
- Eligible to work in US
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 Care Coordinator 2 is a highly visible customer service and patient-focused role. The incumbent in this role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel to ensure the referral process runs smoothly. He/She operates in a dynamic and professional environment to ensure the highest level of quality healthcare is delivered to our members.ESSENTIAL DUTIES AND RESPONSIBILITIES:
Coordinates patient referrals with specialists and/or hospitals, completes referral requests and transmits medical records and correspondence via mail and/or secured fax or email.
Trains new Care Coordinators and assists with training on new processes with direction from Referral Manager.
Manages approval flows and follows up with approvers who do not respond within a 24 hours period.
Communicates responses to Referral team.
Provides coverage for Care Coordinators when calls-ins, PTO or unavailable and/or in times of high patient volume.
Serves as a backup to the Referral Manager when unavailable.
Assists Care Coordinators on complicated referrals.
Assists with orders, as needed, per Referral Manager. Coordinates surgical procedures with Tier 1, 2 & 3 providers. Assists Skilled Nursing Facility (SNF) team with follow-up on orders.
Coordinates and processes patient referrals to completion with precision, detail and accuracy.
Definition of completion:
Prioritizes HPP patients in Primary Care Physicians panel, stats, expedites and orders over 5 days.
Orders have been approved (when needed).
Schedules patient (Preferred Providers List of Specialist) and notifies them of appointment information, including, date, time, location, etc.
Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and any other approved web IVR for authorization processing).
Completes orders with proper documentation on where patient is scheduled and how patient was notified.
Referrals have been sent to specialist office & confirmed receipt.
Provides extraordinary customer service to all internal and external customers, including, but not limited to: patients colleagues, physicians, etc. at all times. Establishes and maintains relationships with service providers and clinicians.
Ensures assigned tasks are completed precisely and accurately.
Ensures Preferred Provider List is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate for the geography and escalates accordingly when network adequacy impacts access to care.
Performs other related duties as assigned
KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred
An inept understanding of the company's patient population, including the complexities of Medicare programs to patients in the current healthcare marketplace
Detail-oriented with the ability to multi-task. Must be open to cross-functionally training in referrals and back office duties
Able to exercise proper phone etiquette with the ability to navigate proficiently through computer software systems
Team-oriented with the ability to work extremely well with patients, colleagues, physicians and other personnel in a professional and courteous manner
Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks
Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
Ability and willingness to travel locally within the market up to 10% of the time
Spoken and written fluency in English; Bilingual a plus
EDUCATION AND EXPERIENCE CRITERIA:
High School diploma or equivalent required
Associate's degree preferred
A minimum of 2 years of hands-on healthcare experience in a clinical setting required
Experience with Web IVRs and obtaining referrals/authorizations for multiple payors strongly preferred
Healthcare experience within the Medicare HMO population is a plus
A valid, active driver's license in State of employment is required; position may require travel within the market
Medical Assistant certification preferred
- CPR for Healthcare Providers is preferred
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
Employer
ChenMed
About Jacksonville, FL
- The cost of living in Jacksonville is slightly lower than the national average, making it an affordable place to live.
- Wages generally match up with the lower cost of living, providing good value for residents.
- In the summer, average highs are around 90°F and lows are around 70°F.
- In the winter, average highs are around 65°F and lows are around 45°F.
- Short term rentals are relatively easy to find in Jacksonville, with many options available for furnished housing, especially in popular areas near the beaches and downtown.
- Jacksonville is car-friendly with well-maintained roads and highways.
- Public transportation options are available, including buses and the Skyway, but a car is generally recommended for getting around the expansive city and its surrounding areas.
- Jacksonville has a diverse population with a wide age range.
- Common health issues may include allergies due to the lush greenery and potential exposure to hurricanes.
- There is a large population of travel nurses in Jacksonville due to its numerous healthcare facilities and hospitals.
- Jacksonville offers a vibrant culinary scene with a variety of restaurants, especially seafood options.
- The city also has a thriving arts community, with numerous galleries and the Riverside Arts Market.
- Sports enthusiasts can enjoy golf, tennis, and water sports along the coastline, while outdoor enthusiasts can explore the city's parks and nature reserves.