Specialty Care Coordinator

Ridgeview-2; Waconia (MN); On-site; USD 35,000 - 50,000; Full time

Job summary

Ridgeview is seeking a qualified coordinator to manage Specialty Care referrals and prior authorizations, acting as the liaison among patients, insurers, and providers. The role includes accurate patient registration, appointment scheduling, and coordination with billing services.

Candidates should have a high school diploma and at least two years of healthcare experience, with strong English communication, multitasking, and basic math skills. Proficiency in Microsoft Office is preferred.

Qualifications

• Ability to multi-task and manage multiple requests.
• English written and verbal communication skills.
• Basic math and counting money.
• Knowledge of medical terminology helpful.

Responsibilities

• Coordinate intake and scheduling of Specialty Care referrals.
• Process pre-certifications and prior authorizations.
• Serve as liaison between patients, insurers, and providers.
• Coordinate care with Ridgeview Patient Financial Services.
• Assist with release of medical information and forms.

Skills

Multitasking

English communication

Basic math

Customer service

Critical thinking

Teamwork

Autonomy

ICD-10 knowledge

Education

High School diploma or equivalent

Nursing Assistant Certification (CMA/LPN)

Tools

Microsoft Office

Job description

• Location 560 S. Maple Street,Waconia, MN, 55387,United States
• Base Pay $25.34 - $36.62 / Hour
• Job Category Nursing Support
• Employee Type Full Time

Description

Purpose of the Job

This position is responsible for the coordination of Specialty Care patients, managing requests for incoming and outgoing referrals and prior authorizations. Acts as a liaison between health plans, patients and providers.

Job Functions

• Assures accurate processing of patient registration.
• Accurately schedules patient appointments according to clinic policy.
• Coordinates insurance referral actions and pre-certifications.
• Coordinates care with Ridgeview Patient Financial Services.
• Coordinates requests for release of medical information.
• Assists with coordination of completion of medical forms.
• Responsible for self-education to keep informed of changes within the care system guidelines.
• Serves as a liaison between patients, insurance company and provider.
• Coordinates with the Clinic Staffing Department coverage for current and upcoming shifts based on established guidelines and needs.
• Coordinates inpatient and outpatient services including imaging, lab, procedures, surgeries, etc.
• Ensures that all Specialty Care services have been captured and that documentation, coding and billing has been completed for each service.
• Collects and reports statistics as needed.
• Performs administrative support duties as needed.
• Performs other duties as assigned.

Employment Requirements

• High School diploma or equivalent
• Two years’ healthcare experience

Knowledge/Skills/Abilities

• Ability to multi-task
• Ability to meet and maintain the necessary background checks as aligned with position functions
• Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
• Ability to perform basic math functions and count money
• Ability to serve patients in a friendly and efficient manner
• Knowledge of basic computer functions and Microsoft Office applications
• Ability to respond appropriately to unpredictable situations and diverse patient populations
• Ability to work autonomously and as a team
• Capable of making independent decisions with the use of good critical thinking and problem-solving skills
• Knowledge of Medical Terminology
• Knowledge of ICD-10 coding
• Ability to prioritize workload according to medical necessity
• Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above

Preferred Qualifications

• 2+ years of experience in specialty
• Nursing Assistant, CMA or LPN

Compensation

Many factors are taken into consideration when determining compensation such as: the requirements of the position, experience, education, knowledge, and skills along with location and internal equity. Pay listed does not include any shift, weekend, or other differentials.