Employment Opportunities


SPECIALTY CARE COORDINATOR


Description

Overview
The Specialty Care & Community Partnerships Coordinator assists Care Teams in a multi-disciplinary clinic serving patients by coordinating all external (and internal specialty) medical visits for client panels. This person will work with their team to identify internal solutions to difficult or burdensome referrals processes.

Responsibilities

  • Work as part of a cohesive and innovative medical referrals team to provide support for medical Care Teams and connect under-served patients with needed medical referrals -  both internal/external for all clinic and outreach clients
    • To include:
      • Verifying the client’s insurance, Project Access, or other financial assistance programs
      • Locating appropriate medical offices that will accept the client
      • Sending all required chart information and other paperwork required
      • Completing all prior authorizations as required by insurance
      • Scheduling specialty appointments as needed
      • Scheduling interpretation for the appointment, as needed
      • Communicating the appointment and scheduling details to clients
        • what to expect during the appointment
        • what to bring
        • any other special instructions
      • Following up with external office records, as needed
  • Follow-up with the Panel Manager regarding details of the appointments and follow-up (i.e. barriers, transportation, medical housing, appointment reminders, etc)
  • Responsible for developing expertise in navigating insurance systems and will work with the Billing department to identify and understand how insurance impacts the referral process
  • Build and maintain relationships with community social service partners, in particular the Coalition of Community Health Clinics and our partner safety net clinics
  • Attend staff meetings and clinic trainings; assist in training staff and/or volunteers for the referrals program; attend provider meetings, All-staff meetings, and MA meetings as requested

Essential Duties and responsibilities

  • Sorting and prioritizing referrals
  • Processing referrals
  • Navigating the insurance system and completing all necessary prior authorizations
  • Following up after completion of referrals to recuperate records
  • Coordinating and managing in house specialty clinics and coordination with outside partnerships such as the Casey Eye Institute, Medical Teams International, Pacific University
  • Identify and address difficulties and barriers within referral process

Qualifications

  • Must be able to pass Department of Health Services criminal background check
  • Bilingual fluency preferred
  • Medical training or experience preferred
  • Strong computer skills including MS Word, Excel and Outlook
  • Familiarity with EMR Systems such as CPS or EPIC
  • Excellent communication and organizational skills
  • Able to handle multiple tasks, escalated clients and crisis situations
  • Willingness and ability to learn quickly and adapt to a variety of situations; flexibility and highly self-motivated
  • Able to work with and advocate for people from diverse ethnic, cultural, gender, socioeconomic and sexual preference backgrounds
  • Able to work as a member of a team as well as independently
  • Strong reception and administrative skills with high accuracy and attention to detail




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