Location: Delray Beach
Posted on: September 15, 2023
**Were unique. You should be, too.**
Were changing lives every day. For both our patients and our team
members. Are you innovative and entrepreneurial minded? Is your
work ethic and ambition off the charts? Do you inspire others with
your kindness and joy?
Were different than most primary care providers. Were rapidly
expanding and we need great people to join our team.
The Care Coordinator is a highly visible customer service and
patient-focused role that works directly with our patient
population and their families, insurance representatives and
outside vendors, physicians, clinicians and other medical personnel
in a dynamic and professional environment to provide the highest
level of quality healthcare to our members.
**ESSENTIAL DUTIES AND RESPONSIBILITIES:**
+ Coordinates and processes patient referrals to completion with
precision, detail and accuracy.
Definition of completion:
+ Prioritizes HPP patients in Primary Care Physicians panel, stats,
expedites and orders over 5 days.
+ Orders have been approved (when needed).
+ Schedules patient (Preferred Providers List of Specialist) and
notifies them of appointment information, including, date, time,
+ Uses Web IVR to generate authorizations (Availity, Careplus,
Healthhelp NIA and any other approved web IVR for authorization
+ Completes orders with proper documentation on where patient is
scheduled and how patient was notified.
+ Referrals have been sent to specialist office & confirmed
+ Prepares and actively participates during physician/clinician
daily huddles utilizing RITS Huddle Portal and huddle guide.
Communicates effectively the physicians/clinicians needs or
outstanding items regarding to patients.
+ Enters all Inpatient and Outpatient elective procedures in HITS
+ Ensures patient's external missed appointment are rescheduled and
communicated to the physician/clinician.
+ Participates in Super Huddle and provides updates on high
priority patients referrals.
+ Addresses referral based phone calls for Primary Care Physicians
+ Completes and addresses phone messages within 24 hours of
+ Checks out patients based on their assigned physician/clinician.
(Note: If assigned Care Coordinator is unavailable at the time of
check out, a colleague shall assist patient. This process does not
apply to Care Specialist)
+ Retrieves consultation notes from the consult tracking tool.
+ Follows up on all Home Health and DME orders to ensure patient
receives services ordered.
+ Provide extraordinary customer service to all internal and
external customers (including patients and other
+ ChenMed Medical team members) at all times. Utilization of
patient messaging tools.
+ Performs other related duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES:
+ Must be detail-oriented, possess the ability to multi-task and be
open to cross-functionally training in referrals duties.
+ The individual in this role must exercise proper phone etiquette
and have the ability to navigate proficiently through computer
+ Must be team-oriented and work extremely well with patients,
colleagues, physicians and other personnel in a professional and
+ Exceptional organizational skills with the ability to effectively
prioritize and timely complete tasks. Knowledge of medical
terminology, CPT, HCPCS and ICD coding preferred.
**EDUCATION AND EXPERIENCE CRITERIA:**
+ High School diploma or equivalent required
+ A minimum of 1 year of relevant work experience in customer
service, patient referrals, and/or insurance verification
+ Experience with Web IVRs and obtaining referrals/authorizations
for multiple payers strongly preferred
+ Healthcare experience in a clinical setting, preferably within
the Medicare HMO population is a plus
+ Medical Assistant certification preferred
+ CPR for Healthcare Providers is preferred
Were ChenMed and were transforming healthcare for seniors and
changing Americas healthcare for the better. Family-owned and
physician-led, our unique approach allows us to improve the health
and well-being of the populations we serve. Were growing rapidly as
we seek to rescue more and more seniors from inadequate health
ChenMed is changing lives for the people we serve and the people we
hire. With great compensation, comprehensive benefits, career
development and advancement opportunities and so much more, our
employees enjoy great work-life balance and opportunities to grow.
Join our team who make a difference in peoples lives every single
Keywords: ChenMed, Delray Beach , Care Coordinator, Other , Delray Beach, Florida
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