JOB SUMMARY:
The Care Coordinator II is responsible for confirming the patient’s insurance coverage and verifying that proper insurance authorizations are processed prior to the patient appointments to ensure a smooth and efficient visit. In addition, the Care Coordinator II handles medical records requests and QA’s progress notes for the assigned provider.
QUALIFICATIONS/EDUCATION:
High School Diploma or equivalent required.
Bi-lingual English/Spanish preferred; must be able to read, write and speak English.
- 5 years of related experience in a medical setting preferred.
- Strong people skills.
- Data entry skills.
- Attention to detail.
- Quality of work produced must be accurate, thorough, and completed in a timely manner.
- Strong organizational skills and ability to multi-task effectively.
- Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties. Internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send e-faxes and email.
CERTIFICATIONS/LICENSES:
Medical Assistant Certification preferred
ABILITIES/SKILLS:
- Basic computer skills to be able to recognize and understand our EMR System.
- Excellent communication, Customer Service, and telephone skills.
- Strong organizational skills and ability to multi-task effectively.
- Must be able to work independently with minimal supervision in a fast-paced environment.
- Able to respect and maintain patient confidentiality at all times and comply with HIPAA Regulations.
- Must be dependable and conduct him/herself in a professional manner.
- Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties.
- Must be able to follow policies and procedures.
SUPERVISORY RESPONSIBILITIES:
- N/A
ESSENTIAL DUTIES/ RESPONSIBILITIES:
- Responsible for obtaining patient referrals and/or authorizations days prior to the office visit and informing the patient of any deductible or co-pay responsibility.
- Properly registers or updates patients’ insurance information in the EMR.
- Verifies that every patient’s insurance is active and that we are a participating provider.
- Reviews patient deductibles and/or co-pays and updates the patient record.
- Obtains referrals and/or authorization through the insurance portal or by calling the insurance company.
- Assist patients with inquiries or concerns and ensure patients’ expectations are met.
- Works closely with the front desk to ensure clean billing.
- Follows up on callbacks before the end of the day.
- QA progress note or assigned provider.
- Responsible for the monthly recall list for those patients that have not been seen in the past 3-5 years.
- Sorts faxes and completes medical records requests.
- Scans documents including pathology to the ordering physician.
- Assist with special projects as needed.
- Completes tasks or actions assigned to him/her in a timely manner.
- Ability to answer phones, and schedule/reschedule appointments as needed.
- Conducts all activities in a professional, polite, and courteous manner and abides by company policies and procedures.
- Perform any other duties as assigned by management.
We offer a competitive salary, Employee Health Insurance is covered at 100%. We also offer Dental, Vision, Life, and 401k Benefits.