Care Coordinator

ChenMed LLC; Town of Texas (WI); On-site; USD 23,000 - 33,000; Full time

Benefits offered by this job

Comprehensive benefits

Career development

Work-life balance

Job summary

ChenMed LLC in Wisconsin is seeking a Care Coordinator to be the primary contact for patient referrals, triage requests, and coordination of care across primary care, specialists, and hospitals. You will schedule appointments, obtain authorizations, communicate with providers, and ensure timely completion of visits while delivering extraordinary customer service.

A High School diploma and 1 year of referral experience are required; CPR and Medical Assistant certification preferred.

Qualifications

• High School diploma or equivalent required.
• 1 year of referral experience in a healthcare setting required.
• Experience with web-based insurance sites and obtaining referrals/authorizations preferred.
• CPR for Healthcare Providers is preferred.

Responsibilities

• Serve as primary point of contact for incoming and outgoing patient referrals.
• Triage referrals, gather information, ensure timely processing and provider assignment.
• Coordinate care across primary care, specialists, hospitals and other settings.
• Schedule appointments, notify patients of date/time/location, obtain authorizations.

Skills

Medical terminology

Coding knowledge (CPT/HCPCS/ICD)

Organizational skills

Multi-tasking

Phone etiquette

Software proficiency

English fluency

Flexibility

Education

High School diploma

Tools

Microsoft Office

Job description

We’re unique. You should be, too. We’re 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? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Care Coordinator is a highly visible customer service and patient-focused role. They work directly with the organization’s patient population and their families to authorize, schedule, and ensure completion of patient visits with specialty care. This includes working with insurance representatives and outside vendors, arranging transportation, communicating with physicians, clinicians and other medical personnel, and any other entities necessary for successful completion of approved referrals.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES

• Serve as primary point of contact for incoming and outgoing patient referrals.
• Triage referrals, gather necessary information, ensure timely processing and assignment to appropriate providers.
• Facilitates communication, collaboration, and coordination of care.
• Coordinating appointments, referrals, transitions of care between primary care, specialists, hospitals, and other healthcare settings, ensuring seamless transitions and continuity of care.
• Schedules patients utilizing coordinated provider list (CPL), makes all necessary arrangements related to the appointment, notify patients of appointment information: date, time, and location.
• Uses web-based insurance platforms to generate referral authorizations.
• Effectively communicates the physicians/clinicians needs or outstanding items to patients.
• Follows all referrals through to completed appointment and obtains all documentation related to appointment, uploading into organization’s medical record system for physician review prior to PCP follow-up appointment.
• Ensures any missed external appointments are rescheduled and communicated to the PCP.
• Addresses referral-related phone calls from patients, providers, etc.
• Completes and addresses phone messages in a timely manner.
• Provides extraordinary customer service to all internal and external customers.
• Performs other related duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES

• Knowledge of medical terminology, CPT, HCPCS and ICD coding desired.
• An understanding of the company's patient population, including the complexities of Medicare programs.
• Exceptional organizational skills with the ability to effectively prioritize and complete tasks in a timely manner.
• Detail-oriented with the ability to multi-task.
• Able to exercise proper phone etiquette.
• Ability to navigate proficiently through computer software systems & use technology.
• Ability to work well with patients, colleagues, physicians and other personnel in a professional manner.
• Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software.
• Spoken and written fluency in English; bilingual preferred.
• Flexible to work evening, weekends and/or holidays as needed.

EDUCATION AND EXPERIENCE CRITERIA

• High School diploma or equivalent required.
• A minimum of 1 year of referral experience in a healthcare setting required.
• Experience with web-based insurance sites and obtaining referrals/authorizations for multiple payors preferred.
• Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.
• Healthcare experience within the Medicare Advantage population preferred.
• Medical Assistant certification preferred.
• CPR for Healthcare Providers is preferred.

PAY RANGE

$17.0 - $24.26 Hourly. The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s 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. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. 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 people’s lives every single day.

Who We Are

ChenMed is a family-owned, family-oriented organization committed to bringing superior health care to moderate-to-low-income seniors.

Our vision

To positively change American healthcare through primary care innovation for the neediest populations.

Our mission

To provide a convenient, patient-centered environment that fosters enduring relationships between doctors, staff and patients and delivers superior outcomes and a compassionate experience. We will create a healthcare system specifically for our patients' needs through dedicated doctors, a supportive team, and customized technology, and achieve value through scalable innovation, resourcefulness and accountability.

Our patient promise

You are the reason we are here. Your coordinated healthcare and well-being is our focus. Like a member of our family, we will take care of you in good times and in times of need.