Care Coordinator-Referrals

Primary Care & Hope Clinic•Murfreesboro, TN

63d

About The Position

The Care Coordinator works in collaboration with Primary Care & Hope Clinic Medical and Behavioral providers and outside providers to assist patients and their families with the coordination of their healthcare.

Requirements

Must have a high school diploma or equivalent
Must be willing to become a Certified Application Counselor for health insurance enrollment purposes.
Must communicate with patients in a friendly, positive manner.
Must be able to operate office-related equipment.
Must follow HIPAA and OSHA requirements.
Must be supportive of our mission to provide healthcare to the underinsured and uninsured.

Nice To Haves

Education or experience in healthcare healthcare-related field preferred

Responsibilities

Represent PC&HC to patients/visitors in a caring, courteous, and professional manner. Provide prompt, efficient, and accurate patient service.
Perform health insurance enrollment-related duties, including responding to requests for information; generating interest in enrollment through outreach, application assistance, and follow-up; documentation of activities; access, utilization, and retention duties; and related tasks.
Assess the physical, functional, social, psychological, environmental, and financial needs of clients/patients; identify a cost-effective comprehensive plan to meet the families’ health care needs and implement the plan.
Assess the client’s formal and informal support systems.
Promote timely access to appropriate care
Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
Make appropriate and timely referrals to specialist, DME or home health agency per request of provider.
Contact the insurance carriers and initiate the referral process.
Remain current on insurance pre-authorization requests.
Respond promptly to calls from patients regarding the referral process.
Compile all pertinent medical data and supporting documentation and fax or mail to appropriate specialist.
Act as liaison between practice, patients, and referral sources complaints and problems.
Plan and organize workload to maintain efficient patient operations in the health center.
Prioritize patient referrals when needed.
Locate and verify the participating specialist or specialty services always keeping the list current.
Obtain pre-authorization from insurance carriers or other third-party payer or services to be rendered to patients at other locations.
Improve the patient experience and health care processes and help assure the provision of high quality health care, as well as an ongoing process of performance improvement.
Completes all required paperwork
Perform all other duties as required or assigned.