Care Coordinator Job at All Care To You, LLC

All Care To You, LLC Remote

About Us

All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. We offer a flexible work environment and schedules with work from home options. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. We also offer paid holiday, sick time, and vacation time. Additional employee paid coverage options available.

Job purpose

The Care Coordinator is responsible for supporting the care management team. The Coordinator will work directly with the Case Manager in day-to-day operations. This position is ideal for someone who is a strong communicator and team player.

Duties and responsibilities

  • Assists and monitors in the processing of referrals. Documents, updates and finalizes referrals daily while assuring that appropriate internal/external referral providers are utilized, members are eligible and have benefits coverage, correct CPT/ICD-10 codes have been entered, accurate records of all dates and other required fields are entered, supporting clinical data for the referrals is entered, and all referrals are processed within the designated timeframe.
  • Coordinates, identifies and routes referrals that require review to licensed Care Management team as appropriate
  • Uploads all hospital documents post discharge into the appropriate documentation system.
  • Notifies patient’s assigned PCP of hospital admission and discharge.
  • Manages the inpatient call queue. Manages work voice mail and responds to messages within 24 hours.
  • Maintain PHI and compliance with the Health Insurance Portability and Accountability Act (HIPAA)
  • Proactively takes action to solve problems
  • Other duties as needed.

Qualifications

  • 2 years healthcare experience
  • 3 years customer service experience
  • HMO/Medical Group experience preferred
  • Proficiency using Outlook, Microsoft Teams, Zoom, Microsoft Office (including Word and Excel) and Adobe
  • Must be able to work 8:30 - 5 PM Pacific Standard Time
  • Detail oriented and highly organized
  • Strong ability to multi-task, project management, and work in a fast-paced environment
  • Ability to self-manage, strong time management skills
  • Ability to work in an extremely confidential environment
  • Strong written and verbal communication skills
  • Bilingual proficiency preferred

Education and Additional Requirements

  • Highschool Degree or GE Certificate required

Working conditions

  • This job may require flexible work hours due to the nature of the responsibilities
  • Candidate must be comfortable with ambiguity and open to working in a collaborate environment

Job Type: Full-time

Pay: $17.00 - $24.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Experience:

  • Customer Service: 3 years (Preferred)
  • Healthcare: 2 years (Preferred)

Work Location: Remote




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