Specialty Clinic Coordinator

Location: Gordon

Specialty Clinic Coordination Coordinate specialty clinic schedules and provider appointments.

Schedule, confirm, and manage patient appointments for specialty services.

Prepare clinic schedules and patient records for specialty providers.

Serve as a liaison between patients, specialty providers, primary care providers, and clinic staff.

Ensure timely completion of referrals, consultations, and follow-up appointments.

Monitor specialty clinic workflows and identify opportunities for process improvement.

Prior Authorization Management Obtain insurance prior authorizations for medications, procedures, diagnostic testing, and specialty services.

Verify insurance eligibility and benefits as needed.

Complete and submit authorization requests with supporting clinical documentation.

Track authorization status and follow up with insurance carriers to ensure timely approvals.

Communicate authorization outcomes to providers, staff, pharmacies, and patients.

Maintain accurate documentation of authorization activities within the electronic health record (EHR).Medication Refill Coordination Review and process medication refill requests according to provider protocols and clinic policies.

Coordinate refill requests between patients, providers, pharmacies, and clinical staff.

Verify patient eligibility for refills, including appointment compliance and required monitoring.

Route refill requests requiring provider review or intervention.

Document refill activities accurately within the EHR.Assist patients with medication-related questions and pharmacy coordination.

Patient Support and Communication Respond to patient inquiries in a professional and timely manner.

Educate patients regarding scheduling, referrals, prior authorizations, medication refill processes, and clinic procedures.

Maintain confidentiality and comply with HIPAA regulations.

Provide exceptional customer service while supporting patient-centered care.

Administrative Responsibilities Maintain accurate patient records and documentation.

Monitor work queues related to referrals, authorizations, and medication refills.

Generate reports and track performance metrics as requested.

Participate in quality improvement initiatives and staff meetings.

Perform other duties as assigned.

Education LPN or RN (BSN-RN preferred)
Experience Minimum of 2 years of healthcare, medical office, care coordination, or specialty clinic experience preferred.

Experience with insurance prior authorizations and medication refill processes preferred.

Experience using electronic health records (EHR) systems required.

Knowledge, Skills, and Abilities Must possess excellent customer service and communication skills, maintaining a positive, professional, and patient-centered approach in all interactions.

Knowledge of medical terminology, insurance processes, and healthcare regulations.

Strong organizational and time management skills.

Ability to manage multiple priorities in a fast-paced environment.

Excellent verbal and written communication skills.

Strong attention to detail and accuracy.

Proficiency with computer systems, EHR platforms, and Microsoft Office applications.

Ability to work independently and collaboratively as part of a healthcare team.

Physical Requirements Prolonged periods of sitting and computer work.

Occasional standing, walking, bending, and lifting up to 20 pounds.

Ability to communicate effectively in person and by telephone.

Work Environment Clinical and office setting.

Frequent interaction with patients, providers, insurance representatives, pharmacies, and healthcare professionals. –engaging with patients and coordinating with multiple departments to ensure premium patient experience
#J-18808-Ljbffr