Patient Referral Coordinator

Teladoc Health is a global, whole person care company made up of a diverse community of people dedicated to transforming the healthcare experience. As an employee, you’re empowered to show up every day as your most authentic self and be a part of something bigger – thriving both personally and professionally. Together, let’s empower people everywhere to live their healthiest lives.

Summary of Position:

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.

Responsibilities:

• 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

Supervisory Responsibilities: None

Qualifications Required for Position:

• Critical thinking ability
• Excellent written and verbal communication
• Strong customer service focus
• Attention to detail
• Proficient in technology including software programs such as Microsoft 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

The base salary range for this position is $24.00/hr - $25.00/hr. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2024. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time …