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Healthcare Patient Coordinator
2 months ago
Job Title: Associate Patient Care Coordinator
Location: Tampa, FL
Contract: 3 months + potential for extensions
Shift Timing: Monday to Friday, 8 AM to 5 PM with a 1-hour lunch break. Flexible hours available between 8 AM and 6 PM.
Overview:
This role involves the coordination of patient care through effective communication and management of referrals. The Associate Patient Care Coordinator will work closely with healthcare providers and patients to ensure timely appointments and necessary authorizations.
Key Responsibilities:
- Manage patient referrals, ensuring all necessary authorizations are obtained from health plans.
- Coordinate with specialists and patients to facilitate appointment scheduling.
Required Skills: Familiarity with healthcare EMR systems is essential. While a basic understanding of the patient referral process is beneficial, training will be provided for the right candidate.
Job Function Description:
- Responsible for initial triage of patients, administrative intake, and managing admission/discharge information.
- Handle incoming calls and requests for services from both providers and members, providing information on available network services.
- Oversee the referrals process, including the management of incoming and outgoing referrals and prior authorizations.
General Job Profile:
Requires moderate experience within the healthcare function. Some tasks may be performed without established procedures, while basic tasks are completed independently. Guidance is needed for more complex responsibilities.
Job Scope and Guidelines:
Utilizes knowledge and skills in a dynamic environment, demonstrating a moderate level of expertise. The role involves minimal assistance for standard requests and requires problem-solving capabilities.
Minimum Educational Background:
High school diploma or equivalent experience.
Functional Competency:
- Access and interpret claims information.
- Review call history documentation.
- Navigate various computer systems to research medical and benefits information.
- Handle inquiries from members and providers regarding case status.
- Determine authorization requirements for medical services.
- Utilize automated tools for relevant rules and procedures.
- Adapt to system changes and incorporate updates into daily tasks.
- Identify appropriate resources for medical requests.
Proficiency Level:
- Fully proficient in processing medical, behavioral, and clinical service requests.
- Communicate benefit and authorization information effectively.
- Document call history accurately in the relevant systems.
- Schedule appointments based on requests and provide necessary information to assist members.