Care Coordinator - Little Rock Market

About the role

The Care Coordinator performs a wide range of administrative duties including referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, communication with referral sources, and other tasks assigned. The position requires an elevated level of professionalism and collaboration with resources and fellow team members to deliver high-level results.

Responsibilities

• Reviews referral requests generated by primary care physicians and onsite specialists
• Captures appointment date and time for patient
• Informs patient of appointment date and time, special test preparations as necessary, and schedules transportation when necessary
• 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
• Processes a minimum of twenty referral orders per day
• Processes all referral authorization per the health plans protocol and systems, such as Availity
• Coordinates procedures required for surgical clearance and ensures complete documentation is forwarded to specialist's office, ambulatory center, hospital, etc.
• Schedules 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 reschedules appointments as needed
• Scans and indexes documents into the EHR; ensures that necessary documents, such as consult notes, are available in advance of patient visits with primary care physicians or onsite specialists
• Aids coworkers as needed to assure smooth office operation and delivery of excellent service through teamwork
• Performs other duties as assigned

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
• Able to manage competing priorities
• Resourcefulness in problem solving
• Able to take and follow through with assigned tasks and accountability
• Able 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
• Experience working in medically underserved/culturally diverse communities
• Medical office setting experience highly desirable
• Knowledge of medical terminology
• Knowledge of ICD-20 and CPT coding