Care Coordinator

The Care Coordinator is a highly visible customer service and patient‑focused role. They work directly with the organization’s patient population and their families to authorize, schedule, and ensure completion of patient visits with specialty care. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Serve as primary point of contact for incoming and outgoing patient referrals. Triage referrals, gather necessary information, ensure timely processing and assignment to appropriate providers. Facilitate communication, collaboration, and coordination of care. Coordinate appointments, referrals, transitions of care between primary care, specialists, hospitals, and other healthcare settings, ensuring seamless transitions and continuity of care. Schedule patients utilizing coordinated provider list (CPL), make all necessary arrangements related to the appointment, notify patients of appointment information: date, time, and location. Use web‑based insurance platforms to generate referral authorizations. Effectively communicate physicians/clinicians' needs or outstanding items to patients. Follow all referrals through to completed appointment and obtain all documentation related to appointment, uploading into organization’s medical record system for physician review prior to PCP follow‑up appointment. Ensure any missed external appointments are rescheduled and communicated to the PCP. Address referral‑related phone calls from patients, providers, etc. Complete and address phone messages in a timely manner. Provide extraordinary customer service to all internal and external customers. Perform other related duties as assigned. KNOWLEDGE, SKILLS AND ABILITIES: Knowledge of medical terminology, CPT, HCPCS and ICD coding desired. Understanding of the company’s patient population, including the complexities of Medicare programs. 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. Flexible to work evening, weekends and/or holidays as needed. EDUCATION AND EXPERIENCE CRITERIA: High School diploma or equivalent required. Minimum of 1 year of referral experience in a healthcare setting required. 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. PAY RANGE: $17.0 - $24.26 Hourly. The posted pay range represents the base hourly rate or base annual full‑time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for bonuses or commissions. EMPLOYEE BENEFITS: Employees receive a comprehensive benefits package, career development and advancement opportunities, and a supportive work environment with work‑life balance. #J-18808-Ljbffr