Synapticure is a specialty telehealth clinic transforming the experience & outcomes of neurodegenerative disease for patients and caregivers. Founded in 2021 by an ALS patient and caregiver, our care model includes quick and easy access to neurologists, behavioral health including psychiatry and therapy, care coordination and additional services into one integrated care experience. With inclusive insurance coverage including Medicare, we treat patients in all 50 states with ALS, Parkinson’s, Huntington’s, Alzheimer’s and related Dementias. Synapticure partners with health plans, providers, and community organizations to improve the lives of the more than 10 million Americans living with neurodegenerative disease.

About Synapticure

As a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases like Alzheimer’s, Parkinson’s and ALS.

The Role

The Care Operations Referral Coordinator works closely with our care teams, patients and their families to ensure access to clinical and non-clinical services identified by our teams. The ideal candidate is excited about the idea of working closely with our provider and payer partners to figure out the best referral options for our patients using our AI-enabled platform. You are motivated by piecing together the puzzle of national and local options in order to meet the needs of patients across the country.

Job Duties – What you’ll be doing

The role will be responsible for timely accurate review of requests/orders, process prior authorizations with various payers, generate orders, and assist patients with scheduling

To include DME supplies and medications when applicable

Ensures that documentation is detailed and recorded in the patients medical record

The Referral Coordinator plays a crucial role in facilitating communication between patients, healthcare providers, and insurance companies to optimize patient care and ensure seamless transitions between healthcare services

Communicate referral status updates to patients, healthcare providers, and other involved parties

Obtain prior authorizations for services ordered such as CTs, MRIs, and other diagnostic imaging

Schedule appointments for patients once authorization for services is confirmed

Acts as liaison between patients, healthcare providers, infusion centers, pharmacy, and billing department to address issues

This position requires clinical knowledge in addition to technical skills to provide clinical support through the referral process

Coordinate scheduling of appointments as necessary.

Request and obtain medical records from health plans and external providers and organizations per protocol

Fulfill other duties to support member care and operations as assigned

Requirements – What we look for in you

3+ years experience working as a patient navigator, prior authorization specialist, imaging coordinator, Medical Assistant or referral coordinator; preferred experience in a neurology, radiology, or infusion setting preferred

Medical Assistant experience preferred

Effective communication skills with physicians, nurses, and other healthcare personnel

Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties

Strong understanding of insurance policies, procedures, and medical terminology

Strong knowledge of medical terminology, anatomy, and physiology

Strong communication skills with the ability to explain complex medical and insurance information in an empathetic, patient-friendly manner.

Passion for patient advocacy with a problem-solving mindset, focusing on overcoming challenges to accessing care.

Ability to work effectively both independently and as part of a multidisciplinary team, including neurologists, health systems, independent providers, and insurers.

We’re founded by a patient and caregiver, and we’re a remote-first company. This means our values are at the heart of everything we do, and while we’re located all across the country, these principles are what tie us together around a common identity:

Relentless focus on patients and caregivers. We are determined to provide an exceptional experience for every patient we have the privilege to serve, and we put our patients first in everything we do.

Embody the spirit and humanity of those living with neurodegenerative disease. Inspired by our founders, families and personal experiences, we recognize the seriousness of our patients’ circumstances, and meet that challenge every day with empathy, compassion, kindness, joy, and most importantly – with hope.

Seek to understand, and stay curious. We start by listening to one another, our partners, our patients and their caregivers. We communicate with authenticity and humility, prioritizing honesty and directness while recognizing we always have something to learn.

Embrace the opportunity. We are energized by the importance of our mission, and bias toward action.

Benefits for full-time employees

Remote-first design with work from home stipend

Competitive compensation with an annual bonus opportunity

401(k) with matching contribution from day 1

Medical, Dental and Vision coverage for you and your family

Life insurance and Disability

Generous sick leave and paid time off

Fast growth company with opportunities to progress in your career

Medical Referral Coordinator

Job description

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Experience

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