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Clinical Shared Services
2 months ago
ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.
Job Summary:The Cardiology Services Coordinator reports to the Director of Cardiology Services. This position is responsible for supporting our members as they navigate the complex healthcare delivery system, ensuring every member receives the right care in the right setting. This individual will serve as a guide for the members and their families to ensure the member meets with the right specialists, inside or outside the center, in a timely manner. An ideal candidate will have experience in a cardiology setting, a deep understanding of the healthcare ecosystem, have strong attention to detail, and be driven by a passion for providing quality care to seniors.
Duties/Responsibilities:- Partner with ArchWell Health's multi-disciplinary care team to gain a deep understanding of each member's care needs, including identifying gaps and barriers to treatment
- Work with the Cardiologist to coordinate referrals to external providers, vendors, and services to ensure care needs are met
- Complete proper documentation for member referrals to ensure records are accurate and current
- Ensure all referral records are obtained in a timely manner
- Build and nurture relationships with members and their families to successfully facilitate care coordination
- Carry out all activities and provide ongoing monitoring as outlined in a member's care plan to ensure routine follow up and progression is made on care plan goals, and provide root cause analysis for no-shows
- Adhere to HIPAA standards and confidentiality of protected health information (PHI)
- Promote clear communication among care team and treating clinicians to ensure positive member outcomes
- Assist members in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
- Perform all tasks with a hyper focus on patient experience; including processing of patient phone messages, returning calls, routing calls to other team members as appropriate, and calling patients to obtain and relay pertinent information for the cardiologist.
- Schedule cardiology appts and procedures, provide appt reminders, and ensure all necessary records are obtained prior to appts.
- Additional administrative duties, as assigned
- Deep understanding of the healthcare ecosystem, ideally with experience in benefits and insurance authorization
- Passion for helping senior members successfully carry out care plans
- Ability to work effectively with diverse populations including staff, providers, members, family members, insurance carriers, vendors, and the public
- Medical terminology with experience in cardiology and diagnostic testing preferred
- Understanding of Medicare criteria for equipment and supplies
- Knowledge of CPT and ICD-10 codes
- Working knowledge of specialists and community resources to assist the member
- Strong communication and rapport-building ability among an interdisciplinary team
- Ability to multi-task and manage competing priorities with high attention to detail
- Proficient skills in Microsoft Office Suite products including Word, PowerPoint, Outlook, and Excel
- Ability to function independently in a remote environment with a high level of autonomy
- Fluency in Spanish, or languages spoken by the people in the communities we serve (where necessary)
Education and Experience:
- Degree or college level coursework in healthcare required
- 2 years of experience in cardiology referral management or care coordination
- Medical Assistant, LPN or medical administrative experience in a cardiology setting is preferred
- Experience with EMR systems, ideally eClinicalWorks or similar
ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.
Other details- Job Family Clinical Shared Services
- Pay Type Hourly
