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Job Location drjobs

Dallas - USA

Hourly Salary drjobs

$ 22 - 30

Vacancy

1 Vacancy

Job Description

About Crossover Health

Crossover Health is creating the future of health as it should be. A national team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care the company delivers an entirely new model of healthcarePrimary Healthbuilt on the foundation of trusted relationships an interdisciplinary care team approach and outcomes-based payment. Crossovers Primary Health model integrates primary care physical medicine mental health health coaching care navigation and more and delivers care in surround-soundin-person virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle.

Job Summary

For patients who need care outside of Crossovers Onsite and Near site clinics we are actively curating a network of medical specialists in the community who will partner with us to coordinate and deliver excellent care. The focus is on demonstrated high-quality care patient experience practice efficiency cost effectiveness and a service level consistent with Crossover Health standards. This position will help to manage update and curate this network in addition to taking over full logistical and workflow ownership of the referral process. This will include capturing all incoming clinic requests for referrals managing the scheduling and appointment creation for all referrals communications between patient specialist and Crossover and documentation in the appropriate tools.

Job Responsibilities

  • Daily processing of referrals to secondary care outside of Crossover Health (specialists imaging community resources employer benefits).

  • Maintain high quality specialist community service and employer benefit directories.

  • Maintain ongoing communication tracking and appropriate documentation on referrals to ensure continuity of care. This tracking may use an IT database.

  • Ensure that referrals are addressed in a timely manner.

  • Assist with training relevant stakeholders (MDs and CNs) on the external referral process.

  • Assist with prior authorizations as needed.

  • Be the single point of contact between specialists the clinic physicians and the patients when care is needed outside of a Crossover Health clinic and provide updates as appropriate to the clinical team to ensure visibility into active referrals.

  • Use clinical judgment and critical thinking to discern and refine the correct provider type and stratify the urgency of the referral in consultation with clinical team members when necessary.

  • Generate a complete referral packet and ensure timely submission to the specialist of the appropriate clinical documents to support the request for the referral (pertinent clinical notes historical medical records imaging reports lab results).

  • Ensure the arrival of the packet at the specialist office and a timely patient appointment.

  • Work within the parameters of the patient insurance benefits and consult with benefit specialists as needed for the most high quality and cost effective care.

  • Troubleshoot downstream complications or unexpected circumstances so that patient needs are placed first and gaps in care are averted.

  • Interface regularly in a professional and collegial way with primary care MDs and RNs and clinic Hosts.

  • Assist in the development of technology and service innovations to ensure a closed loop system of communication and coordination with our Crossover providers and network specialists.

  • Performs other duties as assigned.

Required Qualifications

  • At least 3 years of applicable experience (experience in a Primary Care setting preferred)

  • High school diploma/GED required

  • Proficient working with Google spreadsheets and/or excel database management and data tracking

Preferred Qualifications

  • Bachelors Degree or relative medical experience

  • Experience processing referrals for a medical group

  • Creative and flexible and effectively manages obstacles

  • Excellent follow-through and have strong task execution skills

  • Able to handle ambiguity when problem solving

  • Thrive in a fast-paced and rapidly changing environment

  • Ability to work in multiple technology platforms simultaneously using clinical judgment and critical thinking in accessing and documenting information that pertains to each patients referral process

  • Organization and accountability within a fluid and constantly changing environment

  • Strong communication customer service and people skills; the ability to connect with all stakeholders (patients doctors nursing staff clinic staff technicians)

  • Excellent problem solving and problem preempting skills

  • Willingness and drive to go the distance to help

  • Work with a team to create new and improved workflows that build upon our new centralized referral management product

Physical Job Requirements

  • May require standing walking and sitting for extended amounts of time.

  • Occasionally lift and carry items weighing up to 50 lbs.

  • Manual and finger dexterity and hand-eye coordination

  • Includes full range of body motion.

  • Requires corrected vision hearing and speech within normal ranges. Must be able to effectively communicate with patients and team members.

The base pay range for this position is $22.96 to $30 per hour. Pay range may vary depending on work location applicable knowledge skills and experience. This position will be eligible for a comprehensive benefits package that includes Medical Insurance Dental Insurance Vision Insurance Short- and Long-Term Disability Life Insurance Paid Time Off and 401K.

Crossover Health is committed to Equal Employment Opportunity regardless of race color national origin gender sexual orientation age religion veteran status disability history of disability or perceived disability. If you need assistance or an accommodation due to a disability you may email us at .

To all recruitment agencies: We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes.

#LI-Onsite

Employment Type

Full-Time

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