Call Center Referrals Coordinator Job at Baptist Health (Florida) (Jacksonville)

Patient Access Services Representative - TMCOne - Call Center

SUMMARY: Assists medical care givers with patient management, tracking and monit...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High School diploma or General Education Degree (GED), completion of vocational medical office training desired, or an equivalent combination of relevant education and experience
Preferred one (1) year of medical office and/or hospital experience to include healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery
Some positions may require certification as a Medical Assistant (CMA)
Knowledge of office management practices, including billing and scheduling within healthcare
Knowledge of basic computer familiarity and experience and the ability to operate basic office equipment
Knowledge of patient care protocols and practices
Knowledge of general patient care practice, methods and regulations
Skill in evaluating patient's needs or following up with a care-giver and then providing follow up support to patients
Skill in scheduling appointments and referrals
Ability to read or listen and comprehend simple instructions, short correspondence, and memos

Job Responsibility

Assists medical care givers with patient management, tracking and monitoring requirements
Answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments
Perform extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities
Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff
adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication
Collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates
ensures that cash handling follows corporate policies
Ensures completion of financial documentation in accordance with TMCH's credit and collection policies
Explains all necessary compliance forms and obtains patient signature as required for regulatory agencies
Performs medical necessity screening and ensures compliance with system requirements

Fulltime

Sleep Center Coordinator

A Sleep Center Coordinator works under the general supervision of the Sleep Cent...

Location

United States , McDonough

Salary:

Not provided

Aylo Health

Expiration Date

Until further notice

Requirements

Must be personable and treat patients & co-workers with care and respect
Able to work independently with supervision
Input patient data into electronic medical records
Schedule patients for appointments, as needed in appropriate time frames indicated
Must be able to work quickly and efficiently to assure patient comfort and satisfaction
Ability to communicate effectively with the patient(s), and health care team
Duties require professional verbal and written communication skills
Able to communicate and understand verbal and written English language
Computer literate with entry level working knowledge of Microsoft Suites
Outlook, and Word

Job Responsibility

Perform all types of education sleep studies to patients and family members (when appropriate)
Generate orders and outside sleep study referrals in association with documented sleep testing results and proper input into eClinicalWords (eCW) software for company's database of patients
Verified eligibility, benefits, precertification status and scheduling availability in a timely manner prior to scheduling any patients
Oversees and manages patients on Sleep Center scheduled, ie: cancellations and rescheduling
Manage and restock of Sleep Center supplies
Communicate with patients the status of their prior approvals for upcoming sleep studies and financial liability for these studies
Verifies eligibility, benefits, precertification status and scheduling availability in a timely manner prior to scheduling any patients
Coordinate linen management with other staff members
Answers telephone calls and routes to appropriate person, if unable to assist the patient
Other related duties as required

Fulltime

Clinic Coordinator, Center of Child Family Psychology

The Clinic Coordinator assists leadership at the Center of Child Family Psycholo...

Location

United States , Denver

Salary:

24.00 - 26.00 USD / Hour

The University Of Denver

Expiration Date

Until further notice

Requirements

Bachelor's degree or equivalent combination of education and experience
Task specific experience in the Microsoft Office Suite (e.g., creating, saving, uploading, downloading and sending documents
creating and maintaining spreadsheets)

Job Responsibility

Managing new client inquiries and conducting intake calls for the CCFP’s Developmental Neuropsychology Clinic
managing billing processes and tracking revenue
scheduling client sessions and clinic rooms
scheduling and supervising timecards of clinical work study students
ordering supplies
upkeeping the electronic record system (i.e. Titanium)
managing client databases
liaising with community partners
maintaining electronic and paper client records
managing incoming calls, website inquiries, & emails from potential and current clients

What we offer

medical
dental
retirement
paid time off
tuition benefit
ECO pass

Parttime

Call Center

Location

United States , Newark

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma or GED equivalent Experience
2 Years experience in Call Center, Receptions taking incoming calls and assisting with customer assistance
1 year of progressively responsible and directly related work experience in a healthcare setting, preferably in a call center environment
Type 40 words per minute
Excellent customer service skills
Knowledge of medical terminology
Demonstrated knowledge of proper English grammar in speaking and writing
Effectively listen to resolve patient's/customers inquiries
Maintain respect and composure in stressful situations
Navigate complex software tools and accurately input data

Job Responsibility

Responds to a high-volume of incoming and outgoing telephone calls and faxed referral
Coordinates care by scheduling, editing and maintaining routine patient physician appointments for new and returning patients
Facilitates communication between the patient and the physician or clinic
Delivers expert knowledge regarding clinic-specific processes
Accurately documents and routes calls to the proper department
Identifies urgent customer needs or operational issues, and escalates appropriately
Works with care teams, patients, and outside facilities to obtain necessary information required for care
Communicates with the care team and support staff on various patient issues
Obtains and updates insurance information
Meets all regulatory and compliance standards

What we offer

medical
vision
dental
life and disability insurance
401(k) plan
free online training

Fulltime

Call Center Agent

Robert Half is seeking Call Center Agents with a healthcare background to suppor...

Location

United States , Newark

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or GED equivalent
2 Years experience in Call Center, Receptions taking incoming calls and assisting with customer assistance
1 year of progressively responsible and directly related work experience in a healthcare setting, preferably in a call center environment
Type 40 words per minute
Excellent customer service skills
Knowledge of medical terminology

Job Responsibility

Responds to a high-volume of incoming and outgoing telephone calls and faxed referral
Coordinates care by scheduling, editing and maintaining routine patient physician appointments for new and returning patients
Facilitates communication between the patient and the physician or clinic
Accurately documents and routes calls to the proper department
Identifies urgent customer needs or operational issues, and escalates appropriately
Works with care teams, patients, and outside facilities to obtain necessary information required for care
Obtains and updates insurance information
Meets all regulatory and compliance standards and exceeds quality assurance standards
Uses reference documents and online knowledgebase tools to clearly articulate accurate information regarding Hospital services

What we offer

medical
vision
dental
life and disability insurance
company 401(k) plan
free online training

Provider Relations Specialist

Serves as a key relationship and operational liaison between group and the organ...

Location

United States

Salary:

24.00 - 29.00 USD / Hour

Personify Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
associate's or bachelor's degree in healthcare administration, business, public health, or related field preferred
1+ years of experience in a healthcare administrative, health plan, provider services, call center, or related role (managed care/TPA experience preferred)
Proficiency with Microsoft Office (Outlook, Word, Excel) and ability to learn internal platforms and provider portals (e.g., Availity or similar) as required
Basic computer literacy
The ability to work on multiple screens, and proficient typing skills
Proficiency in software applications including, but not limited to, Microsoft Word, Microsoft Excel, and Outlook Excellent verbal and written communication skills
Ability to speak clearly and convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Ability to work independently and utilize resources to problem solve
Higher education degree preferred

Job Responsibility

Serves as a key relationship and operational liaison between group and the organization’s Care Management/Utilization Management (CM/UM) programs
Supports provider engagement, education, and issue resolution related to referrals, prior authorization/intake processes, and care management programs
Partners with internal UM/CM, Intake, Claims, Network, and Operations teams to ensure providers have clear guidance, timely responses, and consistent service
Serve as a primary point of contact regarding CM/UM programs, intake/prior authorization workflows, and general operational questions related to MyCare Platform
Build professional, service-oriented relationships with provider offices, facilities, and ancillary organizations through outbound outreach (phone/email/virtual meetings) and timely follow-up
Respond to routine provider inquiries
research and resolve issues within defined turnaround times, using established policies, job aids, and escalation pathways
Provide basic education to providers and office staff on submission requirements, required documentation, timelines, and available CM/UM resources
Route requests to the appropriate internal team (Intake, UM/UR, CM, Claims, Network, Operations) and monitor through closure
communicate status updates to providers as appropriate

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Paid Time Off
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Executive Director, HEOR Modeling

As part of Parexel Consulting, you will play a vital role in helping biopharmace...

Location

United Kingdom

Salary:

Not provided

Parexel

Expiration Date

Until further notice

Requirements

Numerous years’ experience in the life sciences or consulting industries with many years of experience managing direct reports, directing teams and projects
10+ years management experience
15+ years general experience in the field
Minimum of a Bachelor’s Degree in a Scientific or Technical Discipline

Job Responsibility

Monitors profitability of multiple projects through active involvement in the preparation of project plans and management of project budgets
Prevents and resolves issues with revenue recognition
Works within a team environment or individually based on project needs
Provides guidance to project team members and acts as a mentor to junior staff
Works within broad project guidelines and leads issue and conflict resolution
Prioritizes own workload and prioritizes the workload of the project team in order to achieve the project scope and objectives
Capitalizes on opportunities to improve project efficiency, results or team performance and proactively acts
Leverages information from previous projects or other client work to efficiently complete assigned project activities as well as facilitate business decisions
Produces quality work that meets the expectations of Parexel HEOR Consulting and the client
Reviews the work of colleagues for content and quality to ensure the expectations of the client and are met

Float Oncology Nurse Navigator

The Oncology Nurse Navigator (ONN) uses their oncology-specific clinical knowled...

Location

United States , BOSTON

Salary:

42.65 - 105.81 USD / Hour

Dana-Farber Cancer Institute

Expiration Date

Until further notice

Requirements

Associate degree, Nursing
Baccalaureate degree in Nursing strongly preferred
If Associate degree in Nursing, must complete BSN degree within 4 years
1 year of recent experience as a Registered Nurse
Ambulatory and/or oncology experience preferred
Licensed as a Registered Nurse in the Commonwealth of Massachusetts, or State of New Hampshire as appropriate required
AHA BLS required (AHA ACLS accepted as minimum requirement)
Professional nursing certification preferred (OCN, BMTCN, CPHON, AOCNP, CRNI, RN-BC)
Demonstrated ability to work as an effective member of an interdisciplinary team
Demonstrated skills in critical thinking, effective communication, organizational skills, problem solving, and ability to make appropriate independent decisions

Job Responsibility

Participates in day-to-day operations of the program including patient education and call triage
Participates in program evaluation and development of strategic goals consistent with DFCI’s mission and professional values
Participates in the QA/QI projects for the program
Supports the research activities of the program
Exhibits professional commitment through individual integrity, honesty and accountability to self and others
Delivers expert clinical care through evidenced-based practice partnerships with patients, families and colleagues
Assumes nursing care responsibilities for a defined group of patients within the program, including but not limited to assessment, education, coordination, and documentation
Facilitates individualized care within the context of functional status, cultural consideration, health literacy, psychosocial, reproductive/fertility, and spiritual needs for patients, families and caregivers
Supports a smooth transition of patients from active treatment into survivorship, chronic cancer management, or end-of-life care
Assists patients with cancer with issues related to treatment goals, advanced directives, palliative care, and end-of-life concerns using an ethical framework that is nonjudgmental and nondiscriminatory

Fulltime

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Call Center Referrals Coordinator

Job Description

Job Responsibility

Requirements

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