Medical Management Coordinator

HealthTexas Primary Care Doctors; San Antonio (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

HealthTexas is seeking a Medical Management Coordinator in San Antonio, TX to provide care management for HealthTexas members and collaborate with providers and the care team. This role emphasizes accurate documentation, patient education, and adherence to CMS guidelines where applicable.

The position requires at least 1 year of healthcare experience with an EMR and strong telephonic communication skills, plus proficiency in Word/Excel/PowerPoint/Outlook.

Qualifications

• Minimum of 1 year healthcare experience providing care to the managed care population.
• Experience with an Electronic Medical Record.
• Computer experience including Microsoft Word, Excel, PowerPoint and Outlook at the intermediate level.

Responsibilities

• Provide care management to HealthTexas members.
• Contribute to the growth and success of HealthTexas while upholding our Mission, Vision and Values.
• Establish professional rapport with providers, members and other team members.
• Participate in Medical Director Review meetings by discussing patients after telephonic contact.
• Review daily census and assist with follow up tasks as needed.
• Outreach telephonically to patients after hospitalization to complete transitional case management.
• Schedule office visits for patients after hospitalization ensuring PCP within 7-14 days.
• Outreach telephonically to patients after ER visits to schedule follow-up with PCP or APC within 7 days.
• Provide education to patients telephonically.
• Obtain hospital records and input into patients' medical records in ECW.
• Mail out information to patients and providers; Fax out information to providers.
• Communicate with PCP and specialists as needed.
• Obtain records from specialty visits and input into their medical records.

Skills

Care coordination

EMR proficiency

Telephonic communication

Typing 40 wpm

Self-starter

Education

High school diploma

Medical Assistant Certification

Job description

HealthTexas is the largest private owned medical groups in San Antonio. With 18 clinics, over 400 associates and more than 65 providers, we provide quality and trusted primary care to the communities of San Antonio , Boerne , New Braunfels and Schertz . Many associates and providers are long-term employees and of those that have left our group, many want to come back!

We are the future of health care, making a difference in the lives of our patients. Our advancement of medical knowledge through clinical research, our massive expansion and our ranking as one of the best hospitals in South Texas have created a critical need for the best, highly qualified individuals to join our team.

HealthTexas is an Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, genetic data or other legally protected status.

HealthTexas is a drug-free and tobacco-free workplace, with a nicotine-free hiring policy. Nicotine includes all tobacco products including cigarettes, cigars, pipe tobacco, snuff, chewing tobacco and electronic cigarettes.

In order to be qualified for employment, candidates must successfully completed a background investigation and comply with HealthTexas’s COVID-19 vaccination requirement.

Open Positions

Position:Medical Management Coordinator

Location: San Antonio, TX

Job Id:861

# of Openings:1

Job Purpose

The Medical Management Coordinator is responsible for works collaboratively with team members and independently to provide care management to HealthTexas members. In addition, you will be responsible for contributing to the growth and success of HealthTexas while upholding our Mission, Vision and Values.

Culture and Values Expectations

At HealthTexas, we believe that our workplace culture is the cornerstone of our success. We are committed to fostering an inclusive, collaborative, and innovative environment where every Associate feels valued, empowered and motivated to reach their full potential. Our culture is the driving force behind our mission “to deliver quality and compassionate care with outstanding service, every patient, every time”. As a Medical Management Coordinator at HealthTexas we expect you to embody and promote our Values and defined behavioral expectations.

• Integrity: Do the right thing, the right way, every time.
  • Be honest and uphold commitments and responsibilities, earn the trust and respect of the team and those we serve, and maintain privacy and confidentiality.
• Compassion: Treat everyone with respect and dignity.
  • Foster an environment of inclusivity and well-being, practice patience and empathy, and assume positive intent.
• Synergy: Collaborate to improve outcomes.
  • Invite and explore new opportunities, promote effective communication and teamwork, take pride in yourself, your work and HealthTexas.
• Stewardship: Use resources responsibly and efficiently.
  • Implement effective strategies to attain goals, achieve maximum productivity and results, and seek continuous knowledge and improvement.
• Establish and maintain professional rapport with providers, members and other team members.
• Participate in Medical Director Review meeting by discussing patients after telephonic contact.
• Review daily census and assist with follow up tasks as needed as needed.
• Outreach telephonically to patients after hospitalization to complete transitional case management.
• Schedule office visits for patients after hospitalization ensuring they are seen by Primary Care Provider (PCP) within 7-14 days.
• Outreach telephonically to patients who have had a recent Emergency Room visit and schedule a follow up appointment with PCP or APC within 7 days.
• Outreach telephonically to patients to provide education.
• Obtain hospital records on patients from various hospital portals and input into patients medical records
• Mail out information to patients and providers.
• Fax out information to providers.
• Communicate with PCP and specialists as needed.
• Obtain medical records from patient’s specialty visit and input into their medical records in ECW.
• Maintain accuracy of specific spreadsheets on a daily basis.
• Respond to Telephone Encounters in Medical System in a timely manner.
• Comply with all guidelines established by the Centers for Medicare and Medicaid (CMS), if applicable.
• Other duties assigned by the director and/or supervisor.

Experience

• Minimum of 1 year healthcare experience providing care to the managed care population.
• Experience with an Electronic Medical Record.
• Computer experience including Microsoft Word, Excel, PowerPoint and Outlook at the intermediate level.

Education

• High school diploma or equivalent.
• Current Medical Assistant Certification preferred.

Knowledge, Skills & Abilities

• Knowledge of Medical Management concepts preferred.
• Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas.
• Excellent telephonic customer service skills a must.
• A self-starter who is successful with minimal supervision.
• Typing skills, at least 40 wpm.

Work Hours, Travel Requirements

• Monday – Friday, 8:00 a.m. – 5:00 p.m., and as needed to complete projects.
• Travel to medical offices may be necessary for the purpose of providing benefit education.

Working Conditions & Physical Requirements

• This job operates in an office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, scanners, filing cabinets and fax machines.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Please note this job description is not designed to cover or contain a comprehensive list of activities, duties, or responsibilities that are required of the employee for this job. Job responsibilities, location, work hours, etc., may change at any time with or without notice.