Care Coordinator

Healthcare Partners Clearwater , FL 33755

Posted 6 months ago

OVERVIEW OF POSITION:

The Care Coordinator (also referred to as a Referral Coordinator) is responsible to the Center Administrator and assists with medical management data entry and referral functions.

ESSENTIAL FUNCTIONS:

  • Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer.

  • Represents the Company in a professional manner, following all Company policies and procedures.

  • Uses, protects, and discloses DaVita Medical Group patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

  • Responsible for total coordination and processing of all patient referrals for specialty services.

  • Follows protocols for proper authorization and processing of all referrals.

  • Communicates with the patient on a timely basis for all scheduling requirements.

  • Coordinates pre-admission testing requirements with clinic personnel and patient.

  • Completes all administrative functions associated with referral activities in a timely manner.

  • Enters all referral, hospital, outpatient, DME and other patient specialty health service authorizations into the computer system according to Company policy and procedure.

  • Receives consultant reports, maintains documentation, and routes to the appropriate physician promptly.

  • Responsible for monitoring all referral reports not received and timely follow-up in accordance with Company policy and procedure.

  • Performs other duties as assigned.

  • Must have consistent, punctual and reliable attendance.

  • Ability to travel may be required.

EDUCATION:

  • High school graduate, GED or equivalent.

EXPERIENCE:

  • Previous medical office experience with referral processing for HMO plans is preferred.

KNOWLEDGE, SKILLS, ABILITIES:

  • Ability to interact and verbally communicate effectively with patients and all levels of personnel in a professional, courteous and effective manner with excellent customer service skills.

  • Possess excellent communication and organizational skills with the ability to multi task, set priorities, and meet deadlines.

  • Results and goal-oriented with a philosophy for quality improvement.

  • Must be computer literate and have exceptional telephone skills.

  • Possess high job accuracy, efficiency, and dependability.

  • Knowledge of HIPAA regulations.

  • Ability to read, speak, write, and understand the English language fluently.

  • Ability to multi- task in a high paced environment with good organizational skills.

  • Ability to follow written and oral instructions and to work with general guidance.

  • Previous experience with EMR systems is a plus.

  • Knowledge of medical coding a plus.

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Care Coordinator

Healthcare Partners