
501 - 1000 employees
💼 Consulting
🛡️ Insurance
🏥 Healthcare
Consulting • Insurance • Healthcare
Better Health Group is a healthcare organization focused on transforming primary care through a value-based care model. They empower independent and group clinics to deliver personalized, prevention-focused care that leads to better health outcomes and increased satisfaction while reducing costs. With nearly 20 years of refining their care management model, they provide clinics with access to a no-cost system that includes data and analytics, financial security, staff support, and quality management. Better Health Group partners with health plans to offer preferred contract terms and reduces administrative burdens, allowing clinics to efficiently manage medical expenses and cash flow. They serve various markets across the United States and have reached a milestone of 100 clinics.
🔥 7 minutes ago
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501 - 1000 employees
💼 Consulting
🛡️ Insurance
🏥 Healthcare
Consulting • Insurance • Healthcare
Better Health Group is a healthcare organization focused on transforming primary care through a value-based care model. They empower independent and group clinics to deliver personalized, prevention-focused care that leads to better health outcomes and increased satisfaction while reducing costs. With nearly 20 years of refining their care management model, they provide clinics with access to a no-cost system that includes data and analytics, financial security, staff support, and quality management. Better Health Group partners with health plans to offer preferred contract terms and reduces administrative burdens, allowing clinics to efficiently manage medical expenses and cash flow. They serve various markets across the United States and have reached a milestone of 100 clinics.
• Report to the Director, Clinic Operations • Coordinate and process inbound and/or outbound patient referrals accurately and promptly • Review provider orders and contact patients and specialty offices for outbound referrals • Receive and review referral requests, obtain required information, and coordinate scheduling for inbound referrals • Verify patient demographic and insurance information and confirm referral and authorization requirements • Coordinate with insurance carriers and internal teams to resolve outstanding issues • Explain referral instructions and appointment details to patients, answer questions, and address scheduling barriers • Collaborate with referring and receiving healthcare providers to exchange clinical documentation and medical records • Follow up on outstanding referrals, appointments, and incomplete documentation • Retrieve and distribute consultation notes, test results, and other medical records after specialty appointments • Document referral activities, appointment status, patient communications, and related information in the EMR and tracking systems • Monitor referral work queues, reports, and outstanding tasks; resolve or escalate delays and discrepancies • Respond to incoming calls, patient inquiries, and healthcare provider requests • Maintain relationships with patients, clinic teams, specialty practices, and other stakeholders • Follow HIPAA, privacy, documentation, and regulatory requirements • Identify recurring referral challenges and recommend workflow and patient-experience improvements • Perform additional duties as assigned
• High school diploma or equivalent required • 3+ years of administrative, scheduling, customer service, or related experience • Working knowledge of the geographic area served, including local healthcare providers, specialty practices, and patient care resources, or ability to quickly develop this knowledge • Experience in a healthcare environment preferred, but not required • Prior experience in referral coordination, medical reception, medical assisting, patient scheduling, or clinic-based administrative functions preferred, but not required • Familiarity with medical terminology, healthcare operations, insurance verification, referral authorizations, and electronic medical records preferred, but not required • Experience with eClinicalWorks (eCW) or a comparable electronic medical record system preferred, but not required • Strong critical thinking and problem-solving skills • Excellent organizational and time-management skills • Strong written and verbal communication skills • Strong interpersonal and customer service skills • Ability to work independently while collaborating with internal and external stakeholders • Proficiency in Google Workspace (Drive, Docs, Sheets) • Strong attention to detail, follow-through, and accountability • Ability to maintain confidentiality and handle protected health information in accordance with HIPAA and organizational policies • Appreciation of cultural diversity and sensitivity toward patient populations served • Ability to remain seated for extended periods while performing computer-based and administrative work • Ability to operate a computer, keyboard, mouse, telephone, and standard office equipment • Ability to communicate with patients, healthcare providers, and team members in person, by telephone, and electronically • Ability to review electronic medical records and referral documentation for accuracy and completeness • Ability to occasionally stand, walk, bend, and reach • Must comply with BHG's Remote Workers Policy, including maintaining reliable electricity and internet connectivity • Nonexempt employees must comply with applicable timekeeping requirements
• Reliable team that shares the mission of providing 5-star service • Team members are supported in building their careers • Compliance with remote-work policy, including a private and secure workspace • Remote work arrangement • HIPAA and confidentiality-compliant work environment
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