[Hiring] Referral Coordinator I @CVS Health

Role Description

The Referral Coordinator is a vital part of the Patient Experience & Service Operations (PXSO) and delivers an unmatched patient experience. This role is responsible for managing the day-to-day referrals and diagnostic orders for Oak Street Health patients to see specialist providers. This role interacts with center teams and payer partners to ensure patients are able to access needed care in a timely manner.

• Responsible for processing referrals and diagnostic orders
• Update patient information and make necessary updates/changes in electronic medical record
• Communicate referral and authorization information to patients
• Obtain required authorization for all third-party requests
• Request medical records, submit clinical documents, and upload documents into the electronic medical record platform
• Assemble information concerning the patient’s clinical background and referral needs
• Responsible for access to and information in multiple payer portals
• Navigate and produce results in multiple electronic platforms
• Verify non-preferred specialists and facilities for all referrals
• Contribute to the quality of the OSH Specialty Finder by appropriately submitting necessary changes
• Support collaboration with OSH field teams through the Alfred Line and CareReqs
• Interact professionally with internal and external partners and customers
• Meet standard performance metrics
• Meet quality standards
• Other duties as assigned

Qualifications

• High School diploma or equivalent required
• 1 year of general office administrative experience
• Experience with processing referrals is preferred
• Flexible and positive attitude
• Professional phone etiquette
• Organized and able to manage competing priorities
• Strong computer skills and knowledge/familiarity with Microsoft Excel
• Strong communication and customer service skills
• Resourcefulness in problem-solving
• Able to follow through on delegated tasks
• Health plan or provider order entry experience preferred
• Basic knowledge of medical terminology and/or medical coding preferred
• Proficient PC skills
• US work authorization

Requirements

• Proficient PC skills, computer literacy, basic Google Suite skills, and ability to navigate systems
• Prior remote work experience
• Ability to obtain high-speed internet and hardwire equipment to router/modem
• Distraction-free and private remote work environment required as well as reliable dependent care during working hours
• Ability to provide own transportation for instances where on-site support is required for employees located within 50 miles of a physical OSH location/center
• Ability to participate in classroom-style remote training sessions
• An understanding of the high level of conscientiousness, professionalism, and reliability that is required in a remote work environment

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families
• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources, based on eligibility