Job Description

About Sage Health

We believe all seniors regardless of means 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 of our patients’ 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 less, 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 is 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.

All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring an accommodation to complete the application and/or interview process should contact team@sage.health.  

About the role

POSITION SUMMARY  

Care  Coordinator performs a wide range of administrative duties to include referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, communication with referral sources and other tasks assigned.  

The  Care  Coordinator displays an elevated level of professionalism and engages resources and fellow team members within the center to deliver high level results.  

What you'll do

PRIMARY RESPONSIBILITIES:  

• Reviews referral requests generated by primary care physicians and onsite  specialists  

• Coordinates appointment date and time for 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 open referral report (pending consult and diagnostic) daily, to ensure reports have been received prior to 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  ensures complete documentation is  forwarded to specialist's office, ambulatory center, hospital, etc.  

• Schedule urgent referral appointment per the request of the Primary Care Physician, or onsite specialist.  

• 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 in advance of 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 assure smooth office operation and delivery of excellent service through teamwork.  

• Perform other duties as  assigned   

Qualifications

  REQUIRED QUALIFICATIONS:  

• High School Diploma/GED  

• 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.  

PREFERRED QUALIFICATIONS:   

• 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 highly desirable  

• Knowledge of medical terminology  

• Knowledge of ICD-20 and CPT coding  

• Bilingual Spanish and English  

Reports To : Center Manager  

Dotted Line To: Network  Manager  

PI401523a9f5ac-30492-35716863

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