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Karim Healthcare

Medical Diagnostic Referral/Prior Authorization Coordinator

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What they do

A Clinical Coordinator coordinates operations and oversees medical assisting staff in a clinic or medical department. Responsibilities include supervision of day-to-day operations, management of business aspects, HR duties within the team.

$69,670 / year median in Michigan

+13% projected growth

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Job Description

Duties including but not limited to:
  • Coordinate and schedule medical appointments for patients
  • Maintain accurate and up-to-date patient records
  • Communicate with healthcare providers to ensure timely and appropriate care for patients
  • Provide support to medical staff, including nurses and doctors, as needed
  • Ensure compliance with all relevant healthcare regulations and guidelines Contact medical insurance companies and provide ICD diagnosis and CPT procedure codes for patient's illness, condition or injury for Prior Authorizations.
Apply ICD and CPT codes to complete referral requests online or via fax. Conduct the entire office's EHR process and create a system to track old and new patient's records follow up with referrals completed. Incorporate core organizational values of quality, respect, integrity, partnership, and compassion in all activities and decisions. Establish rapport with all PCP offices, hospital personnel, and manage care representatives. Adhere to HIPAA and patient confidentiality requirements. Obtain medical records from EMR and submit documentation to specialists/hospitals. Verify patient health insurance information with major carriers including Medicaid. Determine eligibility and authorization for Medicaid and other insurances for diagnostic medical testing. Initiate EMR by entering demographics, referring and certifying physicians and family information. Maintain customer confidence and protection of medical information by complying with HIPAA guidelines and regulations.
Qualifications:
  • High school diploma or equivalent required
  • Previous experience in a medical office or healthcare setting is
REQUIRED
as well as knowledge of Medical Terminology.
  • Strong organizational skills and attention to detail
  • Excellent communication and interpersonal skills
  • Proficient computer skills, including knowledge of electronic medical records systems
  • Ability to multitask and prioritize tasks in a fast-paced environment
  • Knowledge of medical terminology and procedures We are seeking a dedicated individual who is passionate about providing quality healthcare services to join our team.
If you meet the qualifications listed above, please submit your resume for consideration.
Pay:
$16.00
  • $18.
00 per hour
Benefits:
401(k) Employee discount Paid time off
Work Location:
In person