Las Pinas City City Jobs Healthcare Referral Coordinator | Onsite Alabang | Hmo Day 1 | Us Shift Position at Emapta

Job Info

Company	Emapta
Position	Healthcare Referral Coordinator | Onsite Alabang | Hmo Day 1 | Us Shift
Region	Las Pinas City
Work Level	1-4 Years Experienced Employee
Work experience	2 years
Qualification	Not Specified
Type of work	Full-Time
Specialization Required	Customer Service, Services
Minimum Salary	PHP 35.000
Maximum Salary	PHP 45.000

Workers Compensation Referral Coordinator

Our client partner is a US neurosurgery institute that uses the latest techniques and technologies to deliver the safest and most advanced surgical options to treat most types of brain injuries and pathologies.

Workers Compensation Referral Coordinator is responsible for entering all new patient workers compensation information and updating existing patients claim information to ensure referrals and billing go out correctly. Send rfa’s to appropriate UR Departments in a timely manner. Review received authorizations and coordinate patient referrals to outside providers, facilities, and vendors per each Insurances individual MPN. Must be able to review denial reasons and communicate with providers for appeals and resubmissions. Provide updates, progress notes, work status and appointment status as requested to Primary Treating Physicians, Adjusters, Case managers and Attorneys. Respond to provider questions, requests, and concerns regarding the status of patient referrals. Answer, respond and document phone calls, requests, and questions from patients in a timely manner, providing excellent customer service with a high level of energy in a warm, friendly manner and with the utmost care and respect, and with the ability to provide solid interpersonal and communication skills.

Success in this role requires a candidate who is a meticulous, detail-oriented individual with a positive attitude, excellent patient satisfaction skills and product/service knowledge. Individual must also be an enthusiastic, devoted team player that is able to thrive in a fast paced, demanding environment. This role requires reliability, professional appearance, an exceptional personality, accountability for submitting and following up on patient Workers Compensation Referrals. The WC Referral Coordinator is also responsible for developing and maintaining open and positive communications with other medical staff. 

Your key duties will include:

Key Attributes

• Ability to provide excellent customer service, while being efficient and productive in a fast-paced environment.
• Dependable, organized, have outstanding interpersonal skills with a professional image.
• Computer proficient (MS Office suite of products): Word, Excel, Outlook, and Electronic Health Record ECW
• Requires attention to detail and the ability to multi-task.
• Could learn quickly, retain training, problem solve and think independently.
• Enjoy working with people and possess a friendly and outgoing personality.
• Excellent communication skills, calm and patient, and be team oriented.
• Ability to recognize opportunities for process improvement and work with others to implement change and establish standard practices.
• Coordinates referrals internal and with outside providers, facilities, and vendors per each Insurances individual MPN

Workers Compensation Referral Coordinating Duties

• Manages referral requests within electronic medical record and office program applications.
• Responsible for maintaining complete, accurate, and up-to-date worker compensation claim information and case status.
• Accurately submit referrals as requested and documented by physician.
• Effectively communicates with physician regarding denials reasons for appeals and resubmissions
• Provides scheduling information to patient for approved authorizations.

Skills/Attributes Required:

• College graduate or equivalent

• Medical terminology course completion required

• Front or Back Office Medical Assistant experience preferred

• Customer Service: minimum 1 year required

• Medical Office: 1 year required

• Previous experience in referral coordinating 1 year preferred

• Previous experience in insurance verification preferred

• Workers Compensation experience preferred but will consider the right candidate with a willingness to learn.

• Microsoft Office applications

• Medical terminology and procedure codes

• HIPAA compliance: maintains strict confidentiality of patient and client information

• Knowledge of MPN’s, MTUS and of DWC forms, timelines, and procedures preferred but will consider the right candidate with a willingness to learn.

GENUINE CAREER OPPORTUNITY WITH BENEFITS AWAITS!

• Above average and competitive industry standard compensation package

• Prime location in Alabang and access to top-of-the-line facilities and technologies

• Amenable to reporting onsite

• HMO coverage including 1 free dependent upon hire

• Following US business hours

• 20 Leave credits per year consumed at your discretion with up to 5 days commutable to cash

• Exposure to world-class, high-level management from foreign direct superiors

• Employee engagement activities

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Company Description

Company Info

• Industry: Call Center/IT-Enabled Services/BPO
• Company Size: More than 5000 Employees
• Average Processing Time: 17 days
• Benefits & Others: Dental, Miscellaneous allowance, Medical, Loans, Sports (e.g. Gym), Emapta Academy, Smart casual, Morning / Mid / Night / Shifting
• Specific Location: Makati, City