Referral Supervisor

Referral Supervisor

Requirements

• Knowledge of products, services, standards, policies and procedures in a healthcare environment
• Network Management experience/understanding
• Understanding of cost as it relates to Medicare part A and B
• Ability to effectively communicate with employees, patients and other individuals in a professional and courteous manner
• Ability to pay close attention to detail and to ensure accuracy of reports and data
• Bachelor’s degree preferred; relevant, equivalent experience may be substituted for education
• Minimum five (5) years supervisory experience
• Proficient in Microsoft Excel, Outlook and Word
• Experience working with Physicians and Directors on a daily basis
• Experience reviewing data and making decisions based on the data
• Experience working in Medicare managed care environment
• Experience managing teams greater than 3 employees

Responsibilities

• Provide extraordinary customer service to all internal and external customers (including patients and other Chen Medical team members) at all times
• Manages, coaches and provides training to Referral Coordinators
• Assures referral coordinators are following company processes
• Implement new processes per Referral COE
• Conducts Monthly Referral Coordinator meetings
• Weekly visits to medical centers
• Assists referral coordinators with solving issues as it pertains to referrals
• Collaborates with Office Managers to conduct performance evaluations of Referrals Team Members
• Addresses/resolves any customer service issues
• Works closely with the Management Team and Administrators in relation to strategic business planning
• Manages Referral Approval Process Use Referral Approval Process Checklist
• Manages and Review Notification Emails, ensure email notifications are accurate
• Generates approval email Follow approval email template with details for approval
• Responds to Workflow requests Communicate alternative/approvals to Referral Coordinator
• Follow up with MMD/Specialist/MND if no response after 24 hours
• Calls and Follow up with patients in regards to alternatives Use messaging scripts to speak with patients in regards to alternatives
• Processes New Patient Referral Exception from Sales Team (if applicable to your market)
• Prepares and runs referral team meeting Create agenda for meeting
• Prepares Referral Team Meeting Minutes and send minutes to Operation Director, Market Medical Director, Market Network Director and Referral COE via email after meetings
• Communication with Network Director regards to PPL Report any errors, concerns or feedback in regard to PPL providers
• Trains Referral Managers (if applicable to your market) Evaluate and recommend
• Analyzes referral reports
• Generates Weekly Analysis Report and send to Referral Coordinators
• Works with tier 2/tier 3 specialists to make sure our patients are seen working with the Network Director when necessary
• Ensures Referral coordinators are putting surgeries in HITS
• Looks for trends and referral patterns work with Network Director Example: overutilization and dissatisfaction
• Manages Specialist Schedules Open, close and blocks schedules when advised by Network Director to do so
• Coverages for Referral Coordinator as needed
• Enables an open environment for feedback
• When needed meet with specialist office and Network Director
• Interviews and hire referral coordinators
• Manages time for referral coordinators with Center Managers
• Maintains PPL in conjunction with Network Director
• Other duties as assigned and modified at manager’s discretion

Preferred Qualifications

No preferred qualifications provided.