Healthcare Operations Coordinator

4 days ago

Little Rock, Arkansas, United States Sage Health Full time
About Sage Health

We're dedicated to providing exceptional primary care and wellness services to seniors, without the burden of concierge fees. Our goal is to create a healthcare experience that's both accessible and personalized.

Sage Health builds vibrant neighborhood health centers that are easy to access, providing a comprehensive range of healthcare services and partnering with Medicare Advantage plans to ensure our patients receive the care they need. Our physicians have a patient panel of 400 or less, allowing for a more personalized approach to care. We collaborate with the best outcomes-oriented specialists and hospitals in each market to ensure our patients receive the highest quality care.

We're committed to creating a workplace culture that values diversity, equity, and inclusion. We believe that all applicants should be considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification. By joining our team, you'll be part of a community that's dedicated to delivering outstanding service to our patients and contributing to the financial success of the organization.

About the Role

The Care Coordinator plays a critical role in ensuring the smooth operation of our healthcare services. This position is responsible for performing a wide range of administrative duties, including referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, and communication with referral sources. The ideal candidate will have a professional demeanor, excellent communication skills, and the ability to manage competing priorities in a fast-paced environment.

Key Responsibilities:
  • Reviews referral requests generated by primary care physicians and onsite specialists
  • Coordinates appointment dates and times for patients
  • Informs patients of appointment dates and times, special test preparations as necessary, and schedules transportation when necessary
  • Secures patient information and maintains patient confidential health information
  • Reviews open referral reports daily to ensure reports have been received prior to patient visits with PCPs
  • Processes a minimum of twenty referral orders per day
  • Processes all referral authorizations per health plans' protocols and systems
  • Coordinates procedures required for surgical clearance and ensures complete documentation is forwarded to specialists' offices, ambulatory centers, and hospitals
  • Schedules urgent referral appointments per the request of primary care physicians or onsite specialists
  • Informs primary care physicians via appropriate documentation in the EHR of any missed appointments and reschedules appointments as needed
  • Scans and indexes documents into the EHR, ensuring necessary documents are available in advance of patient visits with primary care physicians or onsite specialists
  • Participates in center and market interdisciplinary teams related to patient care plans and outcomes
  • Aids coworkers as needed to ensure smooth office operations and delivery of excellent service through teamwork
  • Performs other duties as assigned

Qualifications:

REQUIRED QUALIFICATIONS:
  • High School Diploma/GED
  • Office administrative/receptionist/clerical/customer service experience in a fast-paced, heavy phone environment
  • Professional demeanor and communication skills
  • Must be organized and attentive to detail
  • Ability to manage competing priorities
  • Resourcefulness in problem-solving
  • Able to take and follow through with assigned tasks and accountability
  • Ability to work in a fast-paced environment
  • Experience with Microsoft Office Word, Outlook, and Excel

Preferred Qualifications:
  • Experience working with an electronic health record
  • Experience in processing referral authorizations
  • Experience with Availity or other referral authorization platforms
  • Experience working in medically underserved/culturally diverse communities
  • Medical office setting experience highly desirable
  • Knowledge of medical terminology
  • Knowledge of ICD-20 and CPT coding
  • Bilingual Spanish and English

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