Care Coordinator - InTunehealth

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We’re unique.  You should be, too.

We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Care Coordinator, IntuneHealth is a highly visible customer service and patient-focused role. The incumbent in this role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel to ensure the referral process runs smoothly. He/She operates in a dynamic and professional environment to help deliver patients our VIP service.
IntuneHealth is for Medicare Advantage seniors seeking PCP-led, high-quality care when and where they need it. Grounded in ChenMed’s proven care delivery model, IntuneHealth will revolutionize the way seniors experience healthcare by delivering digital-first, seamless care to seniors on their terms.ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• Coordinates and processes patient referrals to completion with precision, detail and accuracy.
• Communicates with patients via chat, text, email, or other means about applicable internal and external appointment information for referrals and physicians’/clinicians’ needs or outstanding items, whilst meeting IntuneHealth response time standards.
• Ensures patient's external missed appointment are rescheduled and communicated to the physician/clinician.
• Uses web applications to generate authorizations (Availity, CarePlus, HealthHelp, NIA and any other approved web IVR for authorization processing).
• Prioritizes referrals for high risk patients, monitors stats and ensures seamless processing of orders.
• Prepares and actively participates during daily care team meetings and provides updates on high priority patients referrals.
• Assists with patient checking-in/outs, escorting patients to exam rooms and scheduling follow up appointments.
• Uses web applications and software to manage consultation notes from patients’ appointments.
• Follows up on Home Health and durable medical equipment orders to ensure patient receives services ordered.
• Provides extraordinary customer service to internal and external customers and partners which include patients and other ChenMed Medical team members.
• Performs other duties as assigned and modified at manager’s discretion.

KNOWLEDGE, SKILLS AND ABILITIES:

• Good business acumen and acuity
• Sound knowledge and understanding of general clinical referrals functions, practices, processes, procedures, techniques and methods
• Knowledge of medical terminology, CPT, HCPCS and ICD coding
• Exceptional customer service skills with a passion for serving others
• Exceptional organizational skills with the ability to effectively prioritize, multitask, be detail-oriented and complete work in a timely manner
• Outstanding verbal and written communication skills
• Skilled in operating phones, personal computers, software, and other basic IT systems
• Comfortable with cross-functional training in referrals and back-office duties
• Ability to communicate with employees, patients and other individuals in a professional and courteous manner
• Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
• Ability and willingness to travel locally, regionally and nationwide up to 10% of the time; flexible to work weekends as needed
• Spoken and written fluency in English

EDUCATION AND EXPERIENCE CRITERIA:

• High School diploma or GED equivalent required
• A minimum of 1 year work experience in customer service, patient referrals and/or insurance verification required
• Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred
• Healthcare experience in a clinical setting, preferably within the Medicare HMO population is a plus
• A valid, active driver's license in State of employment is required; position may require travel within the market
• Medical Assistant certification preferred
• CPR for Healthcare Providers preferred

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