Care Coordinator - Baltimore Market

Sage; Woodlawn (MD); On-site; USD 43,000 - 58,000; Full time

Job summary

Sage Health in Woodlawn, MD is seeking a Care Coordinator to manage referral processing, patient registration, verification of benefits, and insurance authorizations. You will schedule patient appointments, communicate with referral sources, and maintain confidentiality of sensitive health information.

The role requires coordinating procedures for surgical clearances, ensuring documentation is complete, and supporting a high-functioning center as part of a collaborative team of professionals

Qualifications

• High School Diploma or GED required.
• Experience in a fast-paced office with heavy phones.
• Professional demeanor and clear communication are essential.
• Must be organized with attention to detail and able to manage priorities.
• Proficient with Microsoft Office applications.

Responsibilities

• Reviews referral requests generated by primary care physicians and onsite specialists.
• Coordinates appointment date and time for patient.
• Notifies patient of appointment date/time, test preparations, and provides transportation when necessary.
• Secures patient information and maintains confidentiality.
• Reviews open referral reports daily to ensure reports are received before visits.
• Process a minimum of twenty referral orders per day.
• Process all referral authorizations per health plan protocols and systems (Availity).
• Coordinate procedures for surgical clearance and forward documents to appropriate offices.

Skills

Professional demeanor

Organized and detail-oriented

Ability to manage competing priorities

Problem solving

Accountability

Team collaboration

Fast-paced environment experience

Education

High School Diploma/GED

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Job description

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 [e-mail].

About the role

POSITION SUMMARY

CareCoordinator 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.

TheCareCoordinator 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 onsitespecialists
• 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 andmaintainspatient 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 proceduresrequiredfor surgical clearance andensurescomplete documentation isforwardedto 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 viaappropriate documentationin 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 asassigned

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 problemsolving
• Able to take and follow through with assigned tasks and accountability.
• Ability to work in a fast-pacedenvironment
• Experience with Microsoft Office Word, Outlook, and Excel.

PREFERRED QUALIFICATIONS:

• Experience working with an electronic healthrecord
• 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