Care Coordinator I Bilingual

Duties And Responsibilities

• Demonstrate proficiency and efficiency in processing referrals (specialty care and ancillary services), verifying insurances, and acquiring authorization for services if needed.
• Demonstrate proficiency in following up on referrals submitted and retrieving progress notes from specialist in order to close out referral loop and assisting with obtaining second referral if necessary.
• Demonstrate proficiency in documenting activities performed on clients in EHR and C3 database, as well as in looking up patient accounts and encounters in the EHR, EPM, and C3 database, using a variety of fields including but not limited to name, birth date, social security number, and account number.
• Documents and updates PHI log in EHR when referrals are sent/processed.
• Affords assistance in updating to maintain patient demographics in EPM, EHR and C3 database.
• Affords assistance to providers with follow-up on referral as well as no-shows as directed by providers or contract staff.
• Affords assistance in obtaining second referral if necessary.
• Actively responds to phone calls from contractors and/or patients who may be in need of referrals or medical records for patient’s continuum of care.
• Assists in scheduling, rescheduling, and cancelling patient appointments according to established protocols by service line (medical, obstetrics, dental, and behavioral health) and by provider.
• Maintains faxes received in-patient EHR and acquires provider’s signatures for faxes needing provider approval for services provided.
• Flags charts for alerting staff regarding non-compliance services or needing updates to demographics.
• Affords assistance to clinical teams in patient assessment via receipt of reports or review of charts that show abnormal labs/findings and notifies clinicians in the event of an emergency.
• Demonstrates strong customer service skills/ proper phone etiquette when communicating with patients by phone, text messaging system, or by patient portal.

Qualifications

• Education: High School diploma or equivalent Medical Assistant certification preferred.
• Experience: Six months experience in a public health care setting preferred.
• Strong clerical skills to include keyboarding and a good understanding of basic math.
• Some computer knowledge and use of calculator.
• Must possess mental ability to conduct client interviews with a better-than-average attention to detail.
• Bilingual English/Spanish (preferred).