Care Coordinator

Care Coordinator

Requirements

• Knowledge of medical terminology, CPT, HCPCS and ICD coding desired
• Exceptional organizational skills with the ability to effectively prioritize and complete tasks in a timely manner.
• Detail-oriented with the ability to multi-task.
• Able to exercise proper phone etiquette.
• Ability to navigate proficiently through computer software systems & use technology.
• Ability to work well with patients, colleagues, physicians and other personnel in a professional manner.
• Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software.
• Spoken and written fluency in English; bilingual preferred.

Responsibilities

• Serve as primary point of contact for incoming and outgoing patient referrals.
• Facilitates communication, collaboration, and coordination of care.
• Schedules patients utilizing coordinated provider list (CPL).
• Uses web-based insurance platforms to generate referral authorizations.
• Effectively communicates the physicians/clinicians needs or outstanding items to patients.
• Follows all referrals through to completed appointment and obtains all documentation related to appointment.
• Ensures any missed external appointments are rescheduled and communicated to the PCP.
• Addresses referral-related phone calls from patients, providers, etc.
• Provides extraordinary customer service to all internal and external customers.
• Performs other related duties as assigned.

Preferred Qualifications

• Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred.
• Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.
• Healthcare experience within the Medicare Advantage population preferred.
• Medical Assistant certification preferred.
• CPR for Healthcare Providers is preferred.