Patient Referral Coordinator

Job Description

Job Description

INTRODUCTION

Company Overview :

This position is available with Upstate HomeCare, a BioMatrix company.

BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes.

At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners.

Schedule :

Monday Through Friday From 8 : 30am Eastern Standard Time To 5pm Eastern Standard Time

Work schedule is subject to change based on business needs.

Location :

Upon successful completion of on-site training, it is anticipated that an incumbent in this role will work in a hybrid capacity from our location in Syracuse, NY on-site three (3) days per week while working from home two (2) days per week. Work location is subject to change based on business needs.

Join our team, bring your best, and receive a $300 retention bonus as our way of saying thanks for being part of our success.

Job Description :

The Patient Referral Coordinator is responsible for the processing and coordination of all new referrals with the main objective being to clear all patients prior to service in order to ensure proper payment in compliance within all legal and regulatory parameters. This person will ensure accurate, efficient and timely processing of new referrals for Infusion and Enteral services to include, but not be limited to, obtaining all necessary supporting documentation, confirming insurance coverage, coding and pricing of products, documenting patient in applicable computer system, submitting for pre-authorization and coordinating of initial “pushing” of the referral. The Admissions Representative provides support and works collaboratively with referral sources, hospital liaisons, the pharmacy, nursing, and billing and branch personnel.

QUALIFICATION REQUIREMENTS

• Associate’s degree in Business, Health Care Services, or Medical Sales required
• Minimum of one (1) year of experience in healthcare industry required
• Strong working knowledge of first- and third-party payer requirements as it pertains to the billing and collection industry
• Excellent management, communication, interpersonal, team-orientation, organizational and analytical skills
• Prioritization and multi-tasking skills
• Proficiency with problem resolution
• Self-motivated and self-disciplined
• Computer aptitude
• Mathematical aptitude

QUALIFICATIONS PREFERRED

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

KNOWLEDEGE, SKILLS AND ABILITIES REQUIREMENTS

Communication Skills

Computer Skills

PHYSICAL DEMANDS AND WORK ENVIRONMENT

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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at Careers@BioMatrixsprx.com or 954.385.7322 x 1425.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and / or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

OTHER

EXPECTATION FOR ALL EMPLOYEES

Supports the organization's mission, vision, and values by exhibiting the following behaviors : integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins.

GENERAL INFORMATION :

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified.

The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate.

Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include : visitors, patients, employees, or others).

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.