Healthcare Operations Coordinator
6 days ago
We are seeking a highly skilled Patient Care Coordinator to join our team at Allmed Staffing Inc. As a Patient Care Coordinator, you will play a critical role in ensuring the smooth operation of our healthcare services.
Key Responsibilities:
- Member Eligibility Determination: Verify member eligibility for healthcare services and benefits.
- Referral Processing: Process referrals for patients and ensure timely authorization.
- Benefit Information Provision: Provide and explain benefit information to members and providers.
- Authorization Management: Obtain authorizations from the health plan for medical services.
- Scheduling and Coordination: Schedule appointments for members and coordinate with specialists and patients.
- Communication and Support: Respond to calls and questions from members and providers regarding case status and provide support as needed.
- Utilization of Phone System: Utilize the phone system to respond to and transfer calls to appropriate individuals.
- Specialist Coordination: Coordinate with specialists and patients to set up appointments and ensure timely follow-up.
- Point of Contact: Serve as the primary point of contact for providers and members regarding medical, behavioral, and clinical services or benefits.
- Fax Request Review: Review and extract fax requests for medical or clinical services.
- Call and Electronic Referral Management: Receive calls and electronic referral form requests for medical, behavioral, or clinical services.
Requirements:
- Education: High school diploma or equivalent required.
- Healthcare Experience: Experience working in a healthcare setting with EMR systems is necessary.
- Technical Skills: Ability to navigate between computer screens and platforms to research information.
- Training and Development: Willingness to learn and adapt to new processes and technologies.
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