Care Coordinator - (Pinebrook) Mobile, AL

Sage Health•Mobile, AL

About The Position

The Care Coordinator performs administrative duties including referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, communication with referral sources, and other assigned tasks. The role requires professionalism and collaboration with center resources and team members to support high-quality results and patient care. The Care Coordinator reviews and processes referrals, coordinates patient appointments and related arrangements, manages confidential health information, supports authorization and documentation workflows, and participates in interdisciplinary teams. The position reports to the Center Manager, with a dotted-line relationship to the Network Manager.

Requirements

High school diploma or GED.
Office administrative, receptionist, clerical, or customer service experience in a fast-paced, high-volume phone environment.
Professional demeanor and communication.
Organization and attention to detail.
Ability to manage competing priorities.
Resourcefulness in problem solving.
Ability to take responsibility for assigned tasks and follow through with accountability.
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 Spanish and English.

Responsibilities

Review referral requests generated by primary care physicians and onsite specialists.
Coordinate appointment dates and times for patients.
Inform patients of appointment details and any special test preparations, and schedule transportation when necessary.
Secure patient information and maintain confidential health information.
Review the open referral report daily to ensure pending consult and diagnostic reports are received before patients' visits with primary care physicians.
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 specialist's office, ambulatory center, hospital, or other appropriate destination.
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, ensuring necessary documents such as consult notes are available before patient visits with primary care physicians or onsite specialists.
Participate in center and market interdisciplinary teams related to patient care plans and outcomes.
Assist coworkers as needed to support smooth office operations, teamwork, and excellent service.
Perform other duties as assigned.