POSITION SUMMARY: The Client Care Coordinator is responsible for receiving and verifying comprehensive funding source information, identifying patient responsibility portions, communicating these responsibilities to the Admission Liaison and documenting all information in the patient chart and agency medical records database according to current policy. Client Care Coordinator must have solid experience and be a quick learner with great organizational, multi-tasking and communication skills. Client Care Coordinator must be able to work closely with clinic and finance staff members to identify, resolve, and share information regarding payer trends, guidelines, and any new updates. Client Care Coordinator must also be able to understand and adhere to HIPAA and PHI guidelines and be familiar with medical terminology and medical insurance codes. This role will also perform duties in the areas of Administration, Staffing, Facilities, Supplies, Special Projects, Data Entry, Compliance/Program Oversight, and Customer Service.The Client Care Coordinator provides overall support to the programs and staff.

 

TYPICAL RESPONSIBILITIES AND DUTIES:

Client Coordination

Proficiently communicate with clients, families, referral source offices, and funding sources. Review all memos and documentation for correct service type and verified information prior to admission and following according to department policy.  Follow up with staff on needed adjustments.  Enter all verification and scheduling information into the agency EMR system according to department policy. Notify billing office, therapists, admission liaison, and other staff as needed and as identified in clinic policy, information regarding benefits, limits, and structure of reimbursement requirements for each client. Check member Medicaid eligibility at the beginning of each month. Work with billing office and providers to reconcile denials and pending payments. Obtain necessary patient authorizations from various insurance companies.  Schedule initial evaluations for therapists and case managers or as requested. Generate Status Reports regarding pending referrals, waiting lists, and authorizations as appropriate. Facilitate admission operations by following policies and procedures, HIPAA compliance, and reporting compliance issues.

 

Facilities and Supplies

Acts as point-person for building maintenance, equipment maintenance, ordering supplies, and distributing keys. Assures day-to-day operations run smoothly to allow all team members to complete jobs and responsibilities effectively. Assists with building issues as needed across sites. Assists with and serves as contact for staff during emergency incidents such as spills, breaks, and accidents. Assists audiologist with distribution of and repair for hearing aids. Posts and distributes mail. Tracks and codes checks/ payments. Assists in special projects as necessary.

 

Data Entry and Medical Records

Collects required agency forms from clients. Assists programs with data entry for various databases, including Raintree. Assists programs with pulling data for various reports for funders, regulatory agencies, and other requests as needed. Assists team with uploading documents into EMR system. Assists team with sending medical records.

 

Customer Service

Proficiently use communication platforms, such as phone, email, and internet verification and authorization systems. Greets clients, guests, and visitors, ensuring each sign-in and out of the building. Provides exceptional customer service, both internally and externally. Serves as Interpreter/Translator, as needed. Maintains an effective and professional working relationship with consumers and their families/care providers, co-workers and referral sources.

 

QUALIFICATIONS:

EDUCATION: High School diploma or equivalent preferred

WORK EXPERIENCE: 1-year experience in a customer service field preferred.

KNOWLEDGE: Must be computer proficient; must have strong knowledge of the Microsoft office products; experience with EMR systems, specifically Raintree, preferred. 

SKILLS/ABILITIES: Must be able to handle information in a confidential manner, provide exceptional customer service both internally and externally, have good written and oral communication skills, and have good organizational skills.  Bilingual (English/Spanish) preferred.  Must have the ability to connect with individuals of all abilities.

JOB REQUIREMENTS: 

Must be able to pass a criminal and background check. Current driver’s license and proof of automobile insurance if travel is required. Must be able to get from location to location within the affiliate independently.

The Fedcap Group provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. We are an EEO employer committed to diversity, M/F/D/V.