Care Coordinator - Gulfport (MS)

Sage Health•Gulfport, MS

About The Position

The Care Coordinator performs administrative duties including referral processing, patient registration, benefits verification, insurance authorizations, appointment scheduling, and communication with referral sources. The role requires professionalism and coordination with center resources and team members to deliver high-level results. The Care Coordinator reviews and processes referrals, schedules patient appointments and transportation when needed, communicates appointment details and preparation instructions, maintains confidential patient health information, and ensures necessary records are available before patient visits. The role also supports surgical clearance coordination, tracks pending referrals, participates in interdisciplinary care teams, and assists coworkers to support smooth office operations and excellent service.

Requirements

  • High school diploma or GED.
  • Office administrative, receptionist, clerical, or customer service experience in a fast-paced, heavy-phones environment.
  • Professional demeanor and communication.
  • Organized and attentive to detail.
  • Ability to manage competing priorities.
  • Resourcefulness in problem solving.
  • Ability to take accountability for assigned tasks and follow through.
  • Ability to work in a fast-paced environment.
  • Experience with Microsoft Office Word, Outlook, and Excel.

Nice To Haves

  • Experience working with an electronic health record.
  • Experience processing referral authorizations.
  • Experience with Availity or other referral authorization platforms.
  • Experience working in medically underserved or culturally diverse communities.
  • Medical office setting experience.
  • Knowledge of medical terminology.
  • Knowledge of ICD-20 and CPT coding.
  • Bilingual in Spanish and English.

Responsibilities

  • Review referral requests generated by primary care physicians and onsite specialists.
  • Coordinate patient appointment dates and times.
  • Inform patients of appointment details and special test preparations, and schedule transportation when necessary.
  • Secure patient information and maintain confidential health information.
  • Review open referral reports daily to ensure consult and diagnostic reports are received before patients' primary care visits.
  • Process a minimum of twenty referral orders per day.
  • Process referral authorizations according to health plan protocols and systems, such as Availity.
  • Coordinate procedures required for surgical clearance and ensure complete documentation is forwarded to the appropriate specialist office, ambulatory center, or hospital.
  • Schedule urgent referral appointments at the request of a primary care physician or onsite specialist.
  • Document missed appointments in the EHR for the primary care physician and reschedule appointments as needed.
  • Scan and index documents into the EHR and ensure necessary records, such as consult notes, are available before patient visits.
  • Participate in center and market interdisciplinary teams related to patient care plans and outcomes.
  • Assist coworkers as needed to support smooth office operations and excellent service through teamwork.
  • Perform other duties as assigned.
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