POSITION SUMMARY 

Care Coordinator performs a wide range of administrative duties, including referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, communication with referral sources, and other assigned tasks. The Care Coordinator displays elevated professionalism and engages resources and fellow team members within the center to deliver high-level results.

PRIMARY RESPONSIBILITIES:  

• Reviews referral requests generated by primary care physicians and on-site specialists 
• Coordinates appointment date and time for the 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 available referral report (pending consult and diagnostic) daily to ensure reports have been received before the 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 ensure complete documentation is forwarded to the specialist's office, ambulatory center, hospital, etc.  
• Schedule an urgent referral appointment per the primary care physician's or onsite specialist's request. 
• 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 before 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 ensure smooth office operation and delivery of excellent service through teamwork. 
• Perform other duties as assigned

 REQUIRED QUALIFICATIONS:  

• 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. 
• Complete COVID-19 vaccination (including boosters) is essential to this role. Candidates in states that mandate COVID-19 booster doses must also comply with those state requirements.

PREFERRED QUALIFICATIONS:  

• High School Diploma/GED  
• 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 is highly desirable  
• Knowledge of medical terminology  
• Knowledge of ICD-20 and CPT coding  
• Bilingual in Spanish and English

+--------------------------+--------------------------+--------------------------+ | PHYSICAL REQUIREMENTS  | PRIMARY DUTY  | PERCENT OF TIME | | | | PERFORMING DUTY  | +--------------------------+--------------------------+--------------------------+ | Visual Acuity  | YES  | 75-100% | +--------------------------+--------------------------+--------------------------+ | Hearing  | YES  | 75-100% | +--------------------------+--------------------------+--------------------------+ | Standing  | YES  | 75-100% | +--------------------------+--------------------------+--------------------------+ | Walking  | YES  | 75-100% | +--------------------------+--------------------------+--------------------------+ | Lifting/Pulling/Pushing  | YES  | 75-100% | +--------------------------+--------------------------+--------------------------+ | Sitting  | NO  | 0-24% | +--------------------------+--------------------------+--------------------------+

REPORTS TO: Center Manager 

DOTTED LINE TO: Network Manager 

Sage Health will adhere to all federal, state, and local regulations and client requirements. It will obtain necessary proof of vaccination and boosters, when applicable, before employment to ensure compliance. 

ABOUT SAGE HEALTH 

Regardless of means, we believe all seniors 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 our patient's 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 fewer, 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 are 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.