Job Description
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description
The Patient Referral Coordinator will be the system navigator and point of contact to assist members with telehealth case management and ensure referrals are properly sourced and processed accurately, with a focus on customer service. In this role, the Patient Referral Coordinator will interact directly with members, clinical staff, insurance, and medical office personnel to verify approval requirements are met and to provide support addressing health insurance issues that may arise.
• Search the Teladoc Health database and other tools to provide a list of physicians appropriate to each members' clinical condition, geographic location, and preferences that are in network and considered high quality • Complete prior authorization and pre-authorization requests in multiple internal and external systems • Perform all pertinent quality checks and investigations • Ensure that each members' request is completed accurately and fulfilled in a timely manner • Identify and escalate complicated or difficult requests to clinical staff to ensure high quality results • Research and manage case requests independently and collaboratively • Act as internal resource to locate physicians other service processes • Effectively manage special projects and other duties as assigned • Deliver on the Teladoc Health Corporate Values
The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs.
Qualifications • Critical thinking ability • Excellent written and verbal communication • Strong customer service focus • Attention to detail • Proficient in technology including software programs such as bolthires Office, Insurer sites and EMR’s • Ability to work independently and as part of a team • Effective time management skills • Medical terminology and coding requirements proficiency • High school degree or equivalent required • Post-secondary diploma/degree preferred • Prior Referral Coordinator experience preferred • 1-3 years’ experience in a clinical environment required • ICD 10 coding certification preferred Requirements • Required license or credential needed to perform job: N/A Benefits • The base salary range for this position is $21-24/hourly • This position is eligible for a performance bonus and benefits (subject to eligibility requirements) Company Description Teladoc Health is the global virtual care leader, offering the only comprehensive virtual care solution spanning telehealth, expert medical, and licensed platform services.
Teladoc Health serves the world's leading insurers, employers, and health systems and helps millions of people around the world resolve their healthcare needs with confidence. Apply tot his job