Care Coordinator

Essential Duties And Responsibilities

• Captures and processes patient referrals to completion with precision, detail and accuracy.
• Orders have been approved (when needed).
• Schedules patients (Preferred Providers List of Specialist) and notifies them of appointment information, including, date, time, location, etc.
• Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and any other approved web IVR for authorization processing).
• Completes orders with proper documentation on where patient is scheduled and how patient was notified.
• Referrals have been sent to specialist office & confirmed receipt.
• Prepares and actively participates during physician/clinician daily huddles utilizing RITS Huddle Portal and huddle guide.
• Communicates effectively the physicians/clinicians needs or outstanding items regarding to patients.
• Enters all Inpatient and Outpatient elective procedures in HITS tool.
• Safeguards patient's external missed appointments and communicates to the physician/clinician.
• Addresses referral based phone calls for Primary Care Physicians panel.
• Enters all Inpatient and Outpatient elective procedures in HITS tool.
• Safeguards patient's external missed appointments and communicates to the physician/clinician.
• Participates in Super Huddle and provides updates on high priority patients referrals.
• Completes and addresses phone messages within 24 hours of call.
• Checks out patients based on their assigned physician/clinician.
• (Note: If assigned Care Coordinator is unavailable at the time of check out, a colleague shall assist patient. This process does not apply to Care Specialist).
• Retrieves consultation notes from the consult tracking tool.
• Follows up on all Home Health and DME orders to ensure patient receives services ordered.
• Provides extraordinary customer service to all internal and external customers (including patients and other ChenMed Medical team members) at all times.
• Utilizes patient messaging tools.
• Performs other related duties as assigned.

Knowledge, Skills And Abilities

• Must be detail-oriented, possess the ability to multi-task and be open to cross-functionally training in referrals duties.
• The individual in this role must exercise proper phone etiquette and have the ability to navigate proficiently through computer software systems.
• Must be team-oriented and work extremely well with patients, colleagues, physicians and other personnel in a professional and courteous manner.
• Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks.
• Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred.

Education And Experience Criteria

• A high school diploma or equivalent required.
• A minimum of 1 year of relevant work experience in customer service, patient referrals, and/or insurance verification required.
• Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.
• Healthcare experience in a clinical setting, preferably within the Medicare HMO population is a plus.
• A valid, active driver's license in State of employment is required; position may require travel within the market.
• Medical Assistant certification preferred.
• CPR for Healthcare Providers is preferred.

Pay Range

Pay Range: $17.0 - $24.26 Hourly

Employee Benefits

We offer a competitive compensation package, comprehensive benefits, career development and advancement opportunities, and so much more. Join our team who make a difference in people’s lives every single day.