Care Coordinator

3 weeks ago

Miami, United States Gastromed, LLC Full time
Job DescriptionJob Description

JOB TITLE: Care Coordinator

REPORTS TO: Practice Manager

FLSA STATUS: Non-Exempt

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.

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