Care Coordination Specialist

Job Description

Job Description

We are looking for a detail-oriented a Care Coordination Specialist to join our compassionate care-giving team. In this role, you'll act as a key liaison between patients, providers, and insurance carriers to manage referrals, pre-authorizations, and pre-certifications. You'll work within our Electronic Medical Record (EMR) system to ensure timely and accurate communication with patients, patient's family, staff and providers while providing exceptional support to patients and their families all while, upholding HIPAA regulations, procedures and protocols set forth by the organization is mandatory.

If you are adept at managing varying duties and multiple tasks, flexible and able to successfully work with constantly changing priorities, timeframes and deadlines in a fast-paced environment, we'd love to hear from you.

Key Responsibilities

• Serve as a point of contact for referral and authorization requests from providers.
• Monitor, update, and fulfill incoming requests using the EMR system.
• Communicate clearly and compassionately with patients, families, providers, and staff.
• Accurately collect and document information related to insurance pre-authorizations and referrals.
• Ensure compliance with HIPAA regulations and organizational policies.

Qualifications

Education:

• High school diploma or GED required.
• Associate degree or some college coursework preferred.
• Courses in Medical Terminology or healthcare certifications a plus.
• Experience with insurance or claims coding is a strong advantage.

Experience:

• 1-2 years of experience with insurance processes or healthcare authorizations preferred.

Skills & Competencies:

• Strong organizational and time management abilities.
• Excellent customer service and communication skills.
• Proficiency with Microsoft Office, data entry, and multi-line phone systems.
• Familiarity with medical terminology and office procedures.
• High attention to detail, with solid interpersonal and phone etiquette.
• Comfortable working independently and following written protocols.
• Knowledge of grammar, spelling and punctuation and content of the English language including the meaning and spelling of words especially medical terminology is a plus.
• Reliable, punctual, and professional.

Licensure, registration or certification:

• Insurance or Coding certificate, Medical Terminology course completed or other healthcare certifications preferred.

Join our Team! NMC Health offers a family friendly environment with the latest technology and a knowledgeable staff. Here you'll find all departments work together as a team to live out our core values: respect, excellence, service, transparency, and trust.