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Care Coordinator
Location
United States
Posted
19 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Care Coordinator
Palomar Health Medical Group
Role Description The Care Coordinator I will coordinate with physician office staff, patients, and insurance companies to ensure that all types of insurance are verified, and services are authorized. The Care Coordinator I will ensure accurate, prompt, and superior service, answer phones, communicate with all departments and individuals regarding matters related to patient care, and obtain and enter accurate demographic/insurance information for all encounters including patient financial expectations. - Prepare referral requests for outpatient services, elective inpatient admissions, skilled nursing facility admissions, durable medical equipment (DME), and home health. - Utilize health plan websites to obtain benefit verification information and medical necessity criteria, to be utilized by licensed staff to determine the medical appropriateness of the requested service. - Ability to speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. - Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, PowerPoint, internet, e-mail). - Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop-down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. - Performs other duties as assigned. - Follows Palomar Health Medical Group rules, policies, procedures, applicable laws, and standards. - Carries out the mission, vision, and quality commitment of Palomar Health Medical Group. Qualifications - Minimum Education: High School or equivalent - Preferred Education: Medical Administrative or Insurance Specialist Certified - Minimum Experience: 0-12 months in the medical field or Managed Care setting - Preferred Experience: 2 Years in healthcare setting - Required License: Not Applicable - Preferred License: Not Applicable - Required Certification: Not Applicable - Preferred Certification: Medical Administrative or Insurance Specialist Certified
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