Care Coordinator
Core
Coordinates patient referrals, manages approval flows, and ensures smooth referral processes between patients, specialists, and hospitals.
Role type
Care Coordinator (Patient Referral & Operations)
Builds
Patient referral workflows and care coordination services
Domain
Healthcare / Primary Care / Senior Services
Deliverable
client delivery
Required skills
Medical terminology knowledge, CPT/HCPCS/ICD coding, Medicare program complexity, multi-tasking, phone etiquette, Microsoft Office Suite proficiency, organizational skills, prioritization
Preferred skills
Bilingual capabilities, understanding of Preferred Provider Lists, network adequacy management
Technologies
Web IVR (Availity, Careplus, Healthhelp NIA), Microsoft Office Suite, database systems
Responsibilities
Coordinate patient referrals with specialists and hospitals; Train new Care Coordinators on processes; Manage approval flows and follow up with approvers; Provide coverage for team members during absences; Assist with complex referrals and surgical procedure coordination; Ensure accurate documentation and confirmation of referral receipts.
Seniority
Individual Contributor, operational support