Care Coordinator

ChenMed • Dalton, MN

156d • $16 - $23

About The Position

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. This includes working with insurance representatives and outside vendors, arranging transportation, communicating with physicians, clinicians and other medical personnel, and any other entities necessary for successful completion of approved referrals.

Requirements

• High School diploma or equivalent required.
• A minimum of 1 year of referral experience in a healthcare setting required.
• Knowledge of medical terminology, CPT, HCPCS and ICD coding desired.
• Exceptional organizational skills with the ability to effectively prioritize and complete tasks in a timely manner.
• Detail-oriented with the ability to multi-task.
• Ability to navigate proficiently through computer software systems & use technology.
• Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook.
• Spoken and written fluency in English; bilingual preferred.

Nice To Haves

• 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.

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.
• Facilitates communication, collaboration, and coordination of care.
• Coordinating appointments, referrals, transitions of care between primary care, specialists, hospitals, and other healthcare settings.
• Schedules patients utilizing coordinated provider list (CPL), makes 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 the physicians/clinicians needs or outstanding items to patients.
• Follow all referrals through to completed appointment and obtain all documentation related to appointment.
• Upload documentation 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.

Benefits

• Great compensation.
• Comprehensive benefits.
• Career development and advancement opportunities.
• Work-life balance.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees