Care Coordinator - Doral, United States - GastroMed LLC

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    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 patients 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 QAs 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 preferredABILITIES/


    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/AESSENTIAL 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 patients 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.#J-18808-Ljbffr