Description

Sanitas is a global healthcare organization expanding across United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.

Qualifications

Position Summary

The Administrative Coordinator ensures smooth patient flow through the healthcare system, while multitasking and taking initiative to ensure the complete and satisfactory patient experience in the referral process.

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Responsible for coordinating and processing of all patient referrals for specialty services. 
2. Utilizes a high degree of accuracy in obtaining and verifying that all registration data, demographic and insurance information is correct and up to date. 
3. Acts as liaison between Sanitas Medical Centers and other healthcare providers while exhibiting and utilizing a high level of customer services skills. 
4. Performs eligibility checks on members as necessary by telephone or electronically as appropriate. 
5. Follows procedures for proper authorization and processing of all referral services. 
6. Supports physicians and patients in coordinating appointments, authorizations and tests taking place in different clinics. 
7. Sets up appointments and transportation as necessary. 
8. Contacts the patient on a timely basis for all scheduling requirements. 
9. Communicates with patients to ensure follow-through with referrals. 
10. Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines. 
11. Coordinates pre-admission testing requirements with clinic personnel and patients. 
12. Completes all administrative functions related with referral activities in an efficient manner. 
13. Enters all referral, hospital, outpatient and other patient specialty health service authorizations into the computer system following Sanitas policies and procedures. 
14. Responsible for monitoring all referral reports not received and follow-up in a timely manner. 
15. Performs duties in honest and ethical manner. 
16. Perform other duties as assigned, as ambassador of Sanitas with the patients unable to be seen at the facility.
17. Completes outbound call to patients when needed

Supervisory Responsibilities

This position has no supervisory responsibilities.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job the employee is regularly required to work standing up, walk, use hands to operate tools and equipment and must be able to exert regularly up to 10 pounds of force, frequently exert 30 pounds of force and occasionally exert 50 pounds of force to constantly perform the essential job functions. The employee will be frequently required to reach with hands and arms, bend, balance, kneel, crouch, crawl, push, and pull. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. The employee is subject to environmental conditions; protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level.

Required Education and Experience

1. Prior experience in a clinical setting.
2. MS Office programs experience. 
3. Knowledge of medical terminology and CPT, HCPCS and ICD coding preferred. 
4. Knowledge of Availity portal preferred. 
5. Must have High school diploma or equivalent. 
6. Use relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards. 
7. Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines and standard accepted practices 
8. Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. 
9. Ability to work with individuals within and outside the organization, in professional and courteous manner. 
10. Must develop constructive and cooperative working relationships with others. 
11. Strong ability to use independent judgment and initiative.
12. Organized and able to manage competing priorities. 
13. Resourcefulness in problem solving. 
14. Actively look for ways to help people. 
15. Strong written and verbal communications skills 
16. Knowledge of medical terminology 
17. Must be extremely detail oriented. 
18. Strong organizational and interpersonal skills. 
19. Knowledge of EHR 
20. Bilingual skills preferred (English/Spanish) 

Preferred Education and Experience

1. Relevant or any other job-related vocational coursework.