Care Coordinator - Baltimore Market

Sage Health

Lochearn (MD)

On-site

USD 24,796 - 30,307

Full time

14 days+
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Job summary

Sage Health in Baltimore is seeking a Care Coordinator to perform a wide range of administrative duties, including referral processing, patient registration, benefits verification, insurance authorizations, and scheduling.

You will maintain patient confidentiality, coordinate referrals with PCPs and specialists, and support center operations to deliver high-quality care to seniors. Proficiency with EHRs and Availity is preferred; bilingual Spanish and English is a plus.

Qualifications

  • High School Diploma/GED required.
  • Experience in a fast-paced office with phones.
  • Professional demeanor and clear communication.
  • Must be organized and detail oriented.
  • Ability to manage competing priorities.
  • Resourcefulness in problem solving.
  • Able to take and follow through with tasks.
  • Experience with Microsoft Office Word, Outlook, and Excel.

Responsibilities

  • Review referral requests from PCPs and onsite specialists.
  • Coordinate appointment date and time for patient.
  • Inform patient of appointment date and time, test preparations, and arrange transportation if needed.
  • Secure patient information and maintain confidentiality.
  • Review open referrals daily to ensure reports arrive before PCP visit.
  • Process at least twenty referral orders per day.
  • Process all referral authorizations per health plan protocols (Availity).
  • Coordinate procedures for surgical clearance and forward documents to providers.
  • Schedule urgent referral appointments as requested by PCP or onsite specialist.
  • Inform PCP via documentation in EHR of missed appointments and reschedule as needed.
  • Scan and index documents in the EHR for PCP visits.
  • Participate in center/market interdisciplinary teams for patient care plans.
  • Assist coworkers to ensure smooth office operation.
  • Perform other duties as assigned.

Skills

Professional demeanor
Organizational skills
Multitasking
Communication
Prioritization
Problem solving
Bilingual Spanish and English
Fast-paced environment experience

Education

High School Diploma/GED

Tools

Availity
EHR systems
Microsoft Word
Microsoft Outlook
Microsoft Excel

Job description

About Sage Health

We believe all seniors regardless of means deserve concierge primary care & wellness, without the concierge fees. They’ve earned it.

About Sage Health

We believe all seniors regardless of means deserve concierge primary care & wellness, without the concierge fees. They’ve earned it.

Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients’ healthcare needs, and partner with Medicare Advantage plans that fully cover primary care. Unlike other physician practices, a Sage Health physician has a patient panel of 400 or less, and we collaborate with the best outcomes-oriented specialists and hospitals in each market. Because we are not a fee-for-service provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy.

Sage Health is a destination for the best risk provider talent in the country who are building the new standard-bearing senior model for the United States.

All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring an accommodation to complete the application and/or interview process should contact team@sage.health.

About The Role
POSITION SUMMARY

Care Coordinator performs a wide range of administrative duties to include referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, communication with referral sources and other tasks assigned.

The Care Coordinator displays an elevated level of professionalism and engages resources and fellow team members within the center to deliver high level results.

What You’ll Do
PRIMARY RESPONSIBILITIES:
  • Reviews referral requests generated by primary care physicians and onsite specialists
  • Coordinates appointment date and time for patient.
  • Informs patient of appointment date and time, special test preparations as necessary, and schedules transportation when necessary.
  • Secures patient information and maintains patient confidential health information.
  • Reviews open referral report (pending consult and diagnostic) daily, to ensure reports have been received prior to patient’s visit with PCP.
  • Process a minimum of twenty referral orders per day.
  • Process all referral authorization per the health plans protocol and systems i.e., Availity
  • Coordinates procedures required for surgical clearance and ensures complete documentation is forwarded to specialist’s office, ambulatory center, hospital, etc.
  • Schedule urgent referral appointment per the request of the Primary Care Physician, or onsite specialist.
  • Informs Primary Care Physician via appropriate documentation in the EHR of any missed appointments and reschedule appointments as needed.
  • Scan and index documents into the EHR; ensure that necessary documents I.e., consult notes etc. are available in advance of patient visits with primary care physicians or onsite specialists.
  • Participates in center and market interdisciplinary teams related to patient care plans, and outcomes.
  • Aid coworkers as needed to assure smooth office operation and delivery of excellent service through teamwork.
  • Perform other duties as assigned
Qualifications
REQUIRED QUALIFICATIONS:
  • High School Diploma/GED
  • Office Administrative/Receptionist/Clerical/Customer Service experience in a fast-paced, heavy phones environment.
  • Professional demeanor and communication always.
  • Must be organized and attentive to detail.
  • Ability to manage competing priorities.
  • Resourcefulness in problem solving
  • Able to take and follow through with assigned tasks and accountability.
  • Ability to work in a fast-paced environment
  • Experience with Microsoft Office Word, Outlook, and Excel.
Preferred Qualifications
  • Experience working with an electronic health record
  • Experience in processing referral authorizations
  • Experience with Availity or other referral authorization platforms
  • Experienced working in medically underserved/culturally diverse communities
  • Medical office setting experience highly desirable
  • Knowledge of medical terminology
  • Knowledge of ICD-20 and CPT coding
  • Bilingual Spanish and English
Physical Requirements

Primary Duty

Percent of Time Performing Duty

Visual Acuity

YES

75-100%

Hearing

YES

75-100%

Standing

NO

0-24%

Walking

NO

0-24%

Lifting/Pulling/Pushing

NO

0-24%

Sitting

YES

75-100%

Reports To: Center Manager

Dotted Line To: Network Manager

The Pay Range For This Role Is

18 - 22 USD per hour(Baltimore Market)

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