Care Coordinator - Bryant
About The Role
POSITION SUMMARY
Care Coordinator performs a wide range of administrative duties to include referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, communication with referral sources and other tasks assigned.
PRIMARY RESPONSIBILITIES:
- Reviews referral requests generated by primary care physicians and onsite specialists
- Coordinates appointment date and time for patient.
- Informs patient of appointment date and time, special test preparations as necessary, and schedules transportation when necessary.
- Secures patient information and maintains patient confidential health information.
- Reviews open referral report (pending consult and diagnostic) daily, to ensure reports have been received prior to patient's visit with PCP.
- Process a minimum of twenty referral orders per day.
- Process all referral authorization per the health plans protocol and systems i.e., Availity
- Coordinates procedures required for surgical clearance and ensures complete documentation is forwarded to specialist's office, ambulatory center, hospital, etc.
- Schedule urgent referral appointment per the request of the Primary Care Physician, or onsite specialist.
- Informs Primary Care Physician via appropriate documentation in the EHR of any missed appointments and reschedule appointments as needed.
- Scan and index documents into the EHR; ensure that necessary documents I.e., consult notes etc. are available in advance of patient visits with primary care physicians or onsite specialists.
- Participate in center and market interdisciplinary teams related to patient care plans, and outcomes.
- Aid coworkers as needed to assure smooth office operation and delivery of excellent service through teamwork.
- Perform other duties as assigned
Qualifications
- REQUIRED QUALIFICATIONS:
- High School Diploma/GED
- Office Administrative/Receptionist/Clerical/Customer Service experience in a fast-paced, heavy phones environment.
- Professional demeanor and communication always.
- Must be organized and attentive to detail.
- Ability to manage competing priorities.
- Resourcefulness in problem solving
- Able to take and follow through with assigned tasks and accountability.
- Ability to work in a fast-paced environment
- Experience with Microsoft Office Word, Outlook, and Excel. - PREFERRED QUALIFICATIONS:
- Experience working with an electronic health record
- Experience in processing referral authorizations
- Experience with Availity or other referral authorization platforms
- Experienced working in medically underserved/culturally diverse communities
- Medical office setting experience highly desirable
- Knowledge of medical terminology
- Knowledge of ICD-20 and CPT coding
- Bilingual Spanish and English
Physical Requirements
- Primary Duty Percent of Time Performing Duty
- Visual Acuity: YES 75-100%
- Hearing: YES 75-100%
- Standing: NO 0-24%
- Walking: NO 0-24%
- Lifting/Pulling/Pushing: NO 0-24%
- Sitting: YES 75-100%