Care Coordination Specialist

Alive•Nashville, TN

1h•Hybrid

About The Position

The Care Coordination Specialist plays an important role in supporting providers and clinical staff by managing office-based administrative and care coordination tasks. This position assists with processing prior authorizations, diagnostic results, referrals, and maintaining order follow-up. The ideal candidate is organized, detail-oriented, and comfortable working in a healthcare office setting. This role requires the ability to independently prioritize and manage a workload with competing deadlines in a fast-paced environment. Experience with back-office healthcare operations is highly valued, along with strong communication skills, reliability, and a patient-centered approach. The Care Coordination Specialist will be accountable for meeting Alive Care Standards and collaborating effectively with Alive team members as needed. Alive Core Standard – Creating an extraordinary experience

Requirements

High school diploma or equivalent required. Healthcare administrative professional with a minimum of 2 years of healthcare
Experience with EMR systems
Knowledge of medical terminology
Experience working with Medicare and commercial insurance plans

Nice To Haves

Experience in hospice and/or palliative care is strongly preferred.
Experience preferably in outpatient healthcare settings

Responsibilities

Process new referrals and field initial interest in services in a personable and professional manner
Process prior authorizations for medications, diagnostics, and durable medical equipment in a timely and accurate manner.
Coordinate referrals to specialists, including obtaining required documentation and insurance approvals.
Manage laboratory and diagnostic results, ensuring results are reviewed, documented, and communicated per provider instructions.
Perform order follow-up, including tracking outstanding labs, imaging, and referrals and closing loops with patients and providers.
Enter, update, and maintain accurate updates in the electronic medical record (EMR).
Prioritize daily workload to address urgent authorizations, time-sensitive results, and referral deadlines appropriately.