About The Position

The Service Management Coordinator plays a key role in delivering healthcare services to patients within an assigned area. The coordinator serves as a liaison for patient-care activities in a specific program and ensures coordination throughout the patient visit and subsequent interactions. The role includes multiple care-coordination responsibilities and administrative support for providers, nurses, medical directors, and the medical review and case management team.

Requirements

  • Bachelor’s degree or equivalent experience.
  • Three years of experience in healthcare, customer service, or a relevant field.

Responsibilities

  • Lead patient care navigation and explain program benefits and services, including liaising with physicians and educating patients.
  • Set goals with patients and the care team, document them in the program dashboard or calendar tool, and track follow-ups such as visit reminders, specialty appointments, and authorization submissions.
  • Confirm that services are covered and ensure provider orders, including orders from external providers, are authorized.
  • Serve as the primary contact for patient pharmacy benefits and help obtain prior authorizations when applicable, including submitting refill requests, confirming preferred pharmacies, and verifying coverage.
  • Organize patient correspondence and future program plans in the electronic medical record and program benefits systems, ensuring next steps are established.
  • Navigate patients between program visits and other encounters, discuss next steps and resources, facilitate review of patient concerns, and address coverage questions or concerns.
  • Educate and communicate with patients so they understand all relevant benefits offered by the program.
  • Recommend process and service improvements to enhance the patient experience and participate in pilot programs to improve patient engagement.
  • Perform additional duties as assigned.
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