Referral Coordinator - Continence Care (Coral Springs, FL, US)
About this role
Job Function SummaryResponsible for creation and processing of referrals from HCPs and other referral sources into CM database for order confirmations and shipment. Duties include validation of medical files and scanning them into customer accounts within the database along with verifying patients’ insurance benefits by contacting insurance companies and documenting accounts accordingly.
Major Areas of Accountability
- Process leads from external departments to complete the necessary documentation within CM database
- Organize and update customer records by reviewing and validating relevant information received about customers and loading it into the database.
- Complete inbound and outbound telephone calls in response to the referral as documented on the correspondence or HCP referral
- Responsible for the timely verification of medical insurance benefits for new and existing patients; existing customers with changes in insurance, and reactivated patients
- Note in each account a brief and clear summary of insurance information received from the insurance carrier.
- Review each medical record received for missing documentation; check physician’s notes for appropriate diagnosis to justify Comfort Medical’s service; verify that the correct person has signed all paperwork such as physician’s orders, and other documentation requiring signature.
- Ensure the correction of deficient documentation, and documentation requiring signature are received, and filed in the required period.
- Ensure accuracy of components within the files and scanning into the system when applicable.
- Research and resolve issues regarding a customer’s order; communicating with HCPs and insurance to gather relevant information and communicating the outcome to various stake holders where appropriate
- Complete and/or update all pertinent records in company database using Corporate Compliance Guidelines
- Establish and maintain effective knowledge of policies, procedures, and skills required to complete job duties
- Exceed Quality and Quantity Performance Standards
- Establish and maintain effective working relationships with customers and/or co-workers
- Skilled typing ability and knowledge of personal computers, hardware, software (ex. Microsoft Office Suite), and related applications and systems.
- Support the Department’s Leadership Team in achieving departmental goals by completion of tasks, continued training, etc.
- Available and flexible in scheduling to meet the changing business requirements of the position (includes working nights and weekend)
- Responsible for following good housekeeping and quality procedures
- Follows and observes all safety practices
- Set a positive example for co-workers by observing and adhering to all Departmental and Corporate Policies and/or Procedures
- Occasionally, employees currently recognized as high performers through recent performance evaluations, or employees with current demonstrated productivity leadership compared to other employees on existing metrics may be asked to engage in overtime.
- Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
- Other job duties as assigned
Basic Qualifications
- 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.
Preferred Qualifications
- Ability to interpret instructions and guidelines to make decisions and take necessary actions.
- Ability to follow complex instructions and guidelines to specific problems arising in the work area.
- Ability to navigate between different computer systems.
- Ability to apply instructions and/or guidelines as appropriate in the performance of duties.
- Ability to maintain composure during stressful situations occurring because of workloads and/or deadlines.
- Ability to communicate effectively (verbal and written).
- Ability to determine work priorities.
- Ability to work on one’s own initiative to achieve established goals and objectives.
Disclaimer
The statements above are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
At Coloplast, we believe in recognizing and rewarding the contributions of our employees. Our total rewards package is designed to support your well-being, foster your professional growth, and ensure a healthy work-life balance. Here is some of what you can expect:
- Health and Wellness: Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.
- Financial Security: A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.
- Work-Life Balance: Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.
- Professional Development: Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
- Recognition and Rewards: Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
- Community and Culture: A supportive work environment where everyone feels valued, and has a sense of belonging. Participate in team-building activities, volunteer opportunities, and company-sponsored events. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
- Competitive Compensation:The total (hourly plus performance based incentive) compensation range for this position is $55,227 - $82,841. Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location.
Comfort Medical provides an extensive selection of name brand catheter and ostomy supplies to thousands of customers nationwide. Our attention to detail, unmatched customer service, and dedication to helping our customers live happier, healthier lives are just a few of the many reasons we are one of the fastest growing catheter and ostomy supply companies in the nation!
Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, theAdvamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
Comfort Medical is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.
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Originally posted on Himalayas