Job description
Company & Mission
We are on an ambitious mission to solve the healthcare shortage in the US by empowering independent practices to thrive. Our AI-powered software and services supercharge independent practices, helping them to grow their patient base and deliver better patient experiences.
About This Role
As a Senior Care Coordinator Manager, you will oversee and manage patient care plans, educate patients about their illnesses, connect them with appropriate medical professionals, and evaluate their progress. Your role is crucial in ensuring patients receive coordinated care across multiple departments, specialties, or facilities, and facilitating smooth interaction between patients and the healthcare system. This is a non-clinical/clinician role.
Location: Remote (US)
Key Responsibilities
- Patient Communication: Answer non-medical patient messages and manage patient document requests.
- Appointment Management: Verify completed patient forms before appointments, send reminders, reschedule missed or follow-up appointments.
- Prescription Coordination: Handle tasks related to pharmacy changes, prescription questions, verify prescription details, and submit Prior Authorization requests.
- Financial Administration: Ensure invoices are paid before appointments, manage patient invoice edits and refunds.
- Record Maintenance: Send medical records through secure portals or emails.
- Referral Management: Send patient referrals to specialists, research lab and EKG facilities for patient referrals.
- Software Administration: Provide administrative support for E-prescribe software and EPCS Controlled Substances.
- Care Coordination: Arrange patient care across several departments or providers, coordinate appointments, referrals, tests, and procedures.
- Patient Advocacy: Act as an advocate for patients, ensure they understand treatment plans, medications, and other necessary information.
- Liaison with Insurance Companies: Clarify benefits, handle pre-authorizations, and ensure medical documentation is in order.
- Patient Education: Educate patients about their health conditions, treatment plans, disease management, medication management, and lifestyle changes.
- Data Management: Track and manage patient data, including health outcomes, patient satisfaction, and service utilization to identify care gaps and improvement opportunities.
- Transitions of Care Management: Assist with managing transitions of care.
Required & Preferred Qualifications
- Experience: Minimum of 5-7 years of experience in care coordination or healthcare management in mental health, therapy and or/ family practice setting
- Education: Bachelor's degree in healthcare administration, nursing, social work, or a related field
- Knowledge of Healthcare Processes: Familiarity with healthcare processes including appointments, referrals, tests, and procedures, as well as pharmacy operations and prescription management.
- Experience with Insurance & Billing: Experience working with insurance companies to clarify benefits, handle pre-authorizations, and manage medical documentation.
- Customer Service & Patient Advocacy Skills: Proven ability to act as an advocate for patients, handle patient concerns, and educate patients about their treatment plans.
- Communication Skills: Excellent communication skills to interact effectively with patients, families, healthcare providers, and insurance companies.
Compensation & Benefits
- Base salary range: $66,000 - $90,000
- Performance Bonus & Stock Option Plan
- Medical, dental, and vision coverage for employee and family
- Life Insurance and Disability Benefits
- 401(k) Retirement Plan with Company Match
- Generous Paid Time Off and Holidays
- Employee professional development and wellness program
About Klarity Health
Revenue: Unknown / Non-Applicable
Size: 1 to 50 Employees
Type: Company - Public
Website: www.klarityadhd.com