JOB TITLE: Care Coordinator 

REPORTS TO: Practice Manager

FLSA STATUS: Non-Exempt

JOB SUMMARY: 

The Care Coordinator II is responsible for confirming the patient’s insurance coverage and verifying that proper insurance authorizations are processed prior to the patient appointments to ensure a smooth and efficient visit. In addition, the Care Coordinator II handles medical records requests and QA’s progress notes for the assigned provider.

QUALIFICATIONS/EDUCATION:

• High School Diploma or equivalent required.

• Bi-lingual English/Spanish preferred; must be able to read, write and speak English. 

• 5 years of related experience in a medical setting preferred.
• Strong people skills. 
• Data entry skills.
• Attention to detail.
• Quality of work produced must be accurate, thorough, and completed in a timely manner.
• Strong organizational skills and ability to multi-task effectively.
• Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties. Internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send e-faxes and email.

CERTIFICATIONS/LICENSES:

ABILITIES/SKILLS:

• Basic computer skills to be able to recognize and understand our EMR System.
• Excellent communication, Customer Service, and telephone skills.
• Strong organizational skills and ability to multi-task effectively.
• Must be able to work independently with minimal supervision in a fast-paced environment.
• Able to respect and maintain patient confidentiality at all times and comply with HIPAA Regulations. 
• Must be dependable and conduct him/herself in a professional manner.
• Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties.
• Must be able to follow policies and procedures.

SUPERVISORY RESPONSIBILITIES: 

ESSENTIAL DUTIES/ RESPONSIBILITIES: 

• Responsible for obtaining patient referrals and/or authorizations days prior to the office visit and informing the patient of any deductible or co-pay responsibility.
• Properly registers or updates patients’ insurance information in the EMR. 
• Verifies that every patient’s insurance is active and that we are a participating provider.
• Reviews patient deductibles and/or co-pays and updates the patient record.
• Obtains referrals and/or authorization through the insurance portal or by calling the insurance company. 
• Assist patients with inquiries or concerns and ensure patients’ expectations are met. 
• Works closely with the front desk to ensure clean billing. 
• Follows up on callbacks before the end of the day. 
• QA progress note or assigned provider. 
• Responsible for the monthly recall list for those patients that have not been seen in the past 3-5 years.
• Sorts faxes and completes medical records requests. 
• Scans documents including pathology to the ordering physician. 
• Assist with special projects as needed. 
• Completes tasks or actions assigned to him/her in a timely manner. 
• Ability to answer phones, and schedule/reschedule appointments as needed. 
• Conducts all activities in a professional, polite, and courteous manner and abides by company policies and procedures.
• Perform any other duties as assigned by management. 

We offer a competitive salary, Employee Health Insurance is covered at 100%. We also offer Dental, Vision, Life, and 401k Benefits.