[Remote] Referral Coordinator, Continence Care

Note: The job is a remote job and is open to candidates in USA. Comfort Medical, LLC is a company specializing in catheter and ostomy supplies, dedicated to providing exceptional customer service. The Referral Coordinator is responsible for processing referrals, validating medical files, and verifying patients' insurance benefits to ensure smooth order confirmations and shipments.

Responsibilities

• Responsible for creation and processing of referrals from HCPs and other referral sources into CM database for order confirmations and shipment
• Duties include validation of medical files and scanning them into customer accounts within the database along with verifying patients’ insurance benefits by contacting insurance companies and documenting accounts accordingly
• Process leads from external departments to complete the necessary documentation within CM database
• Organize and update customer records by reviewing and validating relevant information received about customers and loading it into the database
• Complete inbound and outbound telephone calls in response to the referral as documented on the correspondence or HCP referral
• Responsible for the timely verification of medical insurance benefits for new and existing patients; existing customers with changes in insurance, and reactivated patients
• Note in each account a brief and clear summary of insurance information received from the insurance carrier
• Review each medical record received for missing documentation; check physician’s notes for appropriate diagnosis to justify Comfort Medical’s service; verify that the correct person has signed all paperwork such as physician’s orders, and other documentation requiring signature
• Ensure the correction of deficient documentation, and documentation requiring signature are received, and filed in the required period
• Ensure accuracy of components within the files and scanning into the system when applicable
• Research and resolve issues regarding a customer’s order; communicating with HCPs and insurance to gather relevant information and communicating the outcome to various stake holders where appropriate
• Complete and/or update all pertinent records in company database using Corporate Compliance Guidelines
• Establish and maintain effective knowledge of policies, procedures, and skills required to complete job duties
• Exceed Quality and Quantity Performance Standards
• Establish and maintain effective working relationships with customers and/or co-workers
• Skilled typing ability and knowledge of personal computers, hardware, software (ex. Microsoft Office Suite), and related applications and systems
• Support the Department’s Leadership Team in achieving departmental goals by completion of tasks, continued training, etc
• Available and flexible in scheduling to meet the changing business requirements of the position (includes working nights and weekend)
• Responsible for following good housekeeping and quality procedures
• Follows and observes all safety practices
• Set a positive example for co-workers by observing and adhering to all Departmental and Corporate Policies and/or Procedures
• Occasionally, employees currently recognized as high performers through recent performance evaluations, or employees with current demonstrated productivity leadership compared to other employees on existing metrics may be asked to engage in overtime

Skills

• High school diploma or equivalent
• Minimum of one-year experience in a contact center
• Willingness to engage in telephone direct sales
• Ability to take initiative and work independently
• Skilled typing ability and knowledge of personal computers, hardware, software (ex. Microsoft Office Suite), and related applications and systems
• Ability to maintain composure during stressful situations occurring because of workloads and/or deadlines
• Ability to communicate effectively (verbal and written)
• Ability to determine work priorities
• Ability to work on one's own initiative to achieve established goals and objectives
• English/Spanish bilingual preferred
• Ability to interpret instructions and guidelines to make decisions and take necessary actions
• Ability to follow complex instructions and guidelines to specific problems arising in the work area
• Ability to navigate between different computer systems
• Ability to apply instructions and/or guidelines as appropriate in the performance of duties

Benefits

• Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy.
• Access to company sponsored wellness programs and mental health resources.
• Paid leave of absence for qualifying events.
• Generous paid parental leave for both birthing and non-birthing parents.
• A competitive 401(k) plan with company match that vest immediately.
• Financial planning services to help you secure your future.
• Corporate discount programs for goods and services.
• Generous paid time off.
• Flexible work hours.
• Flexible work arrangement options to help you balance your personal and professional life may be available.
• Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
• Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
• A supportive work environment where everyone feels valued, and has a sense of belonging.
• Participate in team-building activities, volunteer opportunities, and company-sponsored events.
• Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.

Company Overview