Administrative Medical Coordinator

SB Clinical Practice Management Plan•Stony Brook, NY

5d•Onsite

About The Position

The Administrative Medical Coordinator supports a Pediatric Subspecialty Division. The incumbent supports the entire divisional team which includes division chief, attending physicians, nurse practitioners and fellows and serves as care coordinator for the divisional team. The Administrative Medical Coordinator must possess a commitment to excellence in the development of knowledge, skills and quality patient-focused service.

Requirements

High school diploma or equivalent
3 years administrative experience
Prior authorizations experience
Patient coordination including procedural and other service scheduling

Nice To Haves

Associate’s Degree
Knowledge of population and public health principles including management of quantitative data and program evaluation.
Demonstrated expertise in managing Outlook calendars.
Experience managing high call volume
EMR experience, excellent computer skills.
Spanish language proficiency

Responsibilities

Provides administrative and clinical support to physicians, nurse practitioners, fellows and support staff.
Serves as a divisional coordinator for all divisional needs and is a liaison within department.
Facilitates medication refill, prescription renewal needs.
Handles requests from school nurses to prepare needed forms and documentation.
Works with outside home care agencies to facilitate orders for medication and equipment.
Processes paperwork for requests for medical equipment.
Works with our providers and keeps them advised and updated regarding patient insurance issues.
Follows up with patient’s primary care physicians to exchange consult notes and progress records.
Notifies Practice Manager/Office Manager of any particular insurance issues or updates.
Ensures all documents, records, test and lab results are appropriately documented and maintained in the electronic medical record when needed.
Ensures that quality assurance requirements are met.
Coordinates and implements marketing communication projects.
Organizes and assists with special events for division and department.
Assists in business planning initiatives as directed.
Provides direct contact support for their division and the department by answering telephones, directing and responding to callers, relaying messages to appropriate recipients and providing patients and their families with the highest level of customer service.
Obtains insurance pre-authorizations/referrals from managed care plans for all required services, procedures, diagnostic tests and medications.
Works with insurance companies regarding denials and appeals process for denials regarding medications, supplies, procedures, testing.
Schedules procedures, testing, biopsies, injections, infusions.
Patient coordination for all procedures and testing.
Ensures patients are prepared for their appointment by informing the patient and/or their family of items to bring to their appointment and answers all questions in order to smoothly facilitate patient’s care.
Helps direct patients to appropriate setting and facilitates patient flow.
Administrative care coordination optimization by identifying opportunities in scheduling and ensuring proper scheduling and utilization of patient slots.
Keeps waiting lists and actively works towards productively building the practice.
Other duties as assigned by management.