Specialty Clinic Coordinator

GORDON MEMORIAL HOSPITAL•Gordon, NE

2d•Onsite

About The Position

The Specialty Clinic Coordinator plays a crucial role in managing the operational aspects of specialty clinics within Gordon Memorial Hospital. This position involves coordinating schedules, managing patient appointments, processing prior authorizations, coordinating medication refills, and providing essential patient support. The coordinator acts as a key liaison between patients, providers, and other healthcare professionals, ensuring smooth clinic workflows and a high level of patient care. This role requires strong organizational skills, attention to detail, and proficiency in healthcare systems and processes.

Requirements

LPN or RN (BSN-RN preferred)
Minimum of 2 years of healthcare, medical office, care coordination, or specialty clinic experience preferred.
Experience with insurance prior authorizations and medication refill processes preferred.
Experience using electronic health records (EHR) systems required.
Excellent customer service and communication skills, maintaining a positive, professional, and patient-centered approach in all interactions.
Knowledge of medical terminology, insurance processes, and healthcare regulations.
Strong organizational and time management skills.
Ability to manage multiple priorities in a fast-paced environment.
Excellent verbal and written communication skills.
Strong attention to detail and accuracy.
Proficiency with computer systems, EHR platforms, and Microsoft Office applications.
Ability to work independently and collaboratively as part of a healthcare team.
Ability to communicate effectively in person and by telephone.

Nice To Haves

BSN-RN preferred

Responsibilities

Coordinate specialty clinic schedules and provider appointments.
Schedule, confirm, and manage patient appointments for specialty services.
Prepare clinic schedules and patient records for specialty providers.
Serve as a liaison between patients, specialty providers, primary care providers, and clinic staff.
Ensure timely completion of referrals, consultations, and follow-up appointments.
Monitor specialty clinic workflows and identify opportunities for process improvement.
Obtain insurance prior authorizations for medications, procedures, diagnostic testing, and specialty services.
Verify insurance eligibility and benefits as needed.
Complete and submit authorization requests with supporting clinical documentation.
Track authorization status and follow up with insurance carriers to ensure timely approvals.
Communicate authorization outcomes to providers, staff, pharmacies, and patients.
Maintain accurate documentation of authorization activities within the electronic health record (EHR).
Review and process medication refill requests according to provider protocols and clinic policies.
Coordinate refill requests between patients, providers, pharmacies, and clinical staff.
Verify patient eligibility for refills, including appointment compliance and required monitoring.
Route refill requests requiring provider review or intervention.
Document refill activities accurately within the EHR.
Assist patients with medication-related questions and pharmacy coordination.
Respond to patient inquiries in a professional and timely manner.
Educate patients regarding scheduling, referrals, prior authorizations, medication refill processes, and clinic procedures.
Maintain confidentiality and comply with HIPAA regulations.
Provide exceptional customer service while supporting patient-centered care.
Maintain accurate patient records and documentation.
Monitor work queues related to referrals, authorizations, and medication refills.
Generate reports and track performance metrics as requested.
Participate in quality improvement initiatives and staff meetings.
Perform other duties as assigned.