Care Coordination Specialist: Referrals & Authorizations

NMC Health; Newton (KS); On-site; USD 38,000 - 52,000; Full time

Job summary

NMC Health is seeking a Care Coordination Specialist in Newton, KS, to coordinate referrals, pre-authorizations, and communications with patients, families, and providers. The role emphasizes HIPAA compliance and accurate documentation within the EMR system.

The position requires strong organizational and customer service skills, with background in healthcare insurance processes and terminology. Local travel is not indicated; on-site work at the Medical Center location is expected.

Qualifications

• High school diploma or GED required.
• Associate degree or some college coursework preferred.
• Courses in Medical Terminology or healthcare certifications a plus.
• Experience with insurance or claims coding is a strong advantage.

Responsibilities

• Serve as a point of contact for referral and authorization requests from providers.
• Monitor, update, and fulfill incoming requests using the EMR system.
• Communicate clearly and compassionately with patients, families, providers, and staff.
• Accurately collect and document information related to insurance pre-authorizations and referrals.
• Ensure compliance with HIPAA regulations and organizational policies.

Skills

Attention to detail

Communication skills

Time management

Customer service

Education

High school diploma or GED

Associate degree or some college coursework

Medical Terminology course

Healthcare certifications

Tools

EMR system

Microsoft Office

Multi-line phone systems

Job description

NMC Health is seeking a Care Coordination Specialist in Newton, KS, to coordinate referrals, pre-authorizations, and communications with patients, families, and providers. The role emphasizes HIPAA compliance and accurate documentation within the EMR system.

The position requires strong organizational and customer service skills, with background in healthcare insurance processes and terminology. Local travel is not indicated; on-site work at the Medical Center location is expected.