Care Coordinator - Baltimore Market

Care Coordinator

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. The Care Coordinator displays an elevated level of professionalism and engages resources and fellow team members within the center to deliver high level results.

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.
• Participates 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%

Reports To: Center Manager

Dotted Line To: Network Manager