Clinical Referral Coordinator
DASCO Home Medical Equipment, Westerville, OH, United States
Description
SUMMARY: The Clinical Referral Coordinator provides customer service to DASCO’s referral sources and their claimants/patients. This may include activities such as inbound/outbound call handling, verifying insurance coverage, obtaining authorizations, securing and reviewing required documentation, processing orders, completing follow-up and educating referrals and patients on coverage, equipment, and supplies.
Essential Functions
Answers inbound phone calls, responds to inquiries in a thorough, accurate, timely and courteous manner, completes outbound follow-up calls as needed.
Accurately completes and/or updates new patient records; gathering all necessary demographic, medical, insurance and other data as required per policy and procedure.
Completes insurance verifications and obtains prior authorizations in compliance with reimbursement guidelines, customer rules, and DASCO policy and procedures.
Processes orders in a timely and accurate manner per all applicable policies and procedures, schedules deliveries, provides confirmation to referral sources. Notifies Team Lead or Manager of issues that hinder process, unsatisfied customers, or any other significant negative customer service circumstance.
Accurately and clearly documents all activity in patient records. Maintains privacy of information in compliance with HIPAA and other applicable rules and regulations.
Secures payment or arranges payment plan whenever the opportunity presents itself.
Works in partnership with Referral Intake, Branch, Sales Representatives and all other DASCO departments to support overall customer service excellence.
Works periodic reports as assigned to complete necessary follow-up, record keeping and other related department functions.
Other duties as assigned by the Manager.
Required Education And/Or Experience
High School diploma or GED equivalent.
Professional licensure or certification such as LPN/LVN, RT, RN.
Six months’ inbound customer service experience.
Preferred Education And/Or Experience
Six months’ experience in healthcare/medical/insurance/DME customer service role.
Additional Qualifications
None.
Competencies
Service / client focus.
Detail-oriented.
Flexibility.
Results driven.
Stress management.
Position Type/Expected Hours Of Work
This is a full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. and work at home scheduling possible based on department need and individual performance.
Supervisory Responsibility
This position has no supervisory role.
Work Environment
This job operates primarily in a professional office environment unless employee works at home, and routinely using standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is typically required to sit; frequently stands, occasionally required to climb or balance; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 10 pounds and rarely lift and/or move up to 25 pounds. Specific vision abilities required by this job include both close and distance vision, color and peripheral vision, depth perception and ability to adjust focus.
Travel
Travel is not typically required for this position.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Eeo Statement
DASCO provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, DASCO complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. DASCO expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of DASCO’s employees to perform their job duties may result in discipline up to and including discharge.
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SUMMARY: The Clinical Referral Coordinator provides customer service to DASCO’s referral sources and their claimants/patients. This may include activities such as inbound/outbound call handling, verifying insurance coverage, obtaining authorizations, securing and reviewing required documentation, processing orders, completing follow-up and educating referrals and patients on coverage, equipment, and supplies.
Essential Functions
Answers inbound phone calls, responds to inquiries in a thorough, accurate, timely and courteous manner, completes outbound follow-up calls as needed.
Accurately completes and/or updates new patient records; gathering all necessary demographic, medical, insurance and other data as required per policy and procedure.
Completes insurance verifications and obtains prior authorizations in compliance with reimbursement guidelines, customer rules, and DASCO policy and procedures.
Processes orders in a timely and accurate manner per all applicable policies and procedures, schedules deliveries, provides confirmation to referral sources. Notifies Team Lead or Manager of issues that hinder process, unsatisfied customers, or any other significant negative customer service circumstance.
Accurately and clearly documents all activity in patient records. Maintains privacy of information in compliance with HIPAA and other applicable rules and regulations.
Secures payment or arranges payment plan whenever the opportunity presents itself.
Works in partnership with Referral Intake, Branch, Sales Representatives and all other DASCO departments to support overall customer service excellence.
Works periodic reports as assigned to complete necessary follow-up, record keeping and other related department functions.
Other duties as assigned by the Manager.
Required Education And/Or Experience
High School diploma or GED equivalent.
Professional licensure or certification such as LPN/LVN, RT, RN.
Six months’ inbound customer service experience.
Preferred Education And/Or Experience
Six months’ experience in healthcare/medical/insurance/DME customer service role.
Additional Qualifications
None.
Competencies
Service / client focus.
Detail-oriented.
Flexibility.
Results driven.
Stress management.
Position Type/Expected Hours Of Work
This is a full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. and work at home scheduling possible based on department need and individual performance.
Supervisory Responsibility
This position has no supervisory role.
Work Environment
This job operates primarily in a professional office environment unless employee works at home, and routinely using standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is typically required to sit; frequently stands, occasionally required to climb or balance; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 10 pounds and rarely lift and/or move up to 25 pounds. Specific vision abilities required by this job include both close and distance vision, color and peripheral vision, depth perception and ability to adjust focus.
Travel
Travel is not typically required for this position.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Eeo Statement
DASCO provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, DASCO complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. DASCO expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of DASCO’s employees to perform their job duties may result in discipline up to and including discharge.
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