Referrals Supervisor

Referrals 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.
• Proficient in Microsoft Excel, Outlook and Word.
• Experience working with Physicians and Directors on a daily basis.
• Experience reviewing data and making decision based of 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.
• Manage, coach and provide training to Referral Coordinators.
• Assure referral coordinators are following company processes.
• Implement new processes per Referral COE.
• Conduct Monthly Referral Coordinator meetings.
• Weekly visits to medical centers.
• Assist referral coordinators with solving issues as it pertains to referrals.
• Collaborate with Office Managers to conduct performance evaluations of Referrals Team Members.
• Address / resolve any customer-service issues.
• Work closely with the Management Team and Administrators in relation to strategic business planning.
• Manage Referral Approval Process- Use Referral Approval Process Checklist.
• Manage and Review Notification Emails, ensure email notifications are accurate.
• Generate approval email- Follow approval email template with details for approval.
• Respond to Workflow requests- Communicate alternative/approvals to Referral Coordinator.
• Follow up with MMD/Specialist/MND if no response after 24hours.
• Call and Follow up with patients in regards to alternatives- Use messaging scripts to speak with patients in regards to alternatives.

Preferred Qualifications

• Bachelor’s degree preferred; relevant, equivalent experience may be substituted for education on a year-for-year basis.