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    Care Coordinator - Miami, United States - Gastromed, LLC

    Gastromed, LLC
    Gastromed, LLC Miami, United States

    3 weeks ago

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    Description

    Job Description

    Job Description

    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:

    • Medical Assistant Certification preferred

    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:

    • N/A

    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.

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