Care Coordination Technician

• Manages referrals received by the case management department, including but not limited to eligibility verification, Coordination of Benefits issues, Center of Excellence inclusion and building care enrollment in the medical platform.
• Initiates and manages care enrollments in the medical platform.
• Runs all program reports, including timely receipt and disbursement to case management associates.
• Manages post-referral program completion, reconciles visit summaries to visit dates and ensures timely receipt; maintains a visit summary repository.
• Summarizes program results for case management leadership, including readmissions, referral volume, and open vs closed cases. 1
• Serves as liaison between members, physician groups and case managers.
• Performs additional duties and responsibilities as assigned by management.

• HS Diploma/GED
• 2 years of administrative experience in a clinical setting
• Bilingual in English/Spanish
• Knowledge of medical terminology
• Knowledge of Medicare benefits
• Familiar with Florida regulatory compliance standards
• Ability to meet deadlines in a consistent manner; able to manage multiple deadlines
• Knowledge of Utilization Management, Care Coordination processes
• Strong organizational skills; able to multitask and prioritize.
• Strong written/documentation and verbal skills-detail oriented
• Detail oriented

• Experience in a call center environment preferred
• Microsoft Office
• Creating word documents, communicating with team via Outlook, creating and updates Excel spreadsheets
• Decision-Making
• Communications and Collaboration
• Organizational Skills
• Requires strong organization and prioritization

• Medical, Dental, and Vision Insurance
• Paid Annual Leave, Sick Leave
• Flexible Spending Accounts
• Retirement funds with matching contribution
• Supplemental insurance policies, including legal, Life Insurance and AD&D among others
• Work Perks program including discounted movie and theme park tickets among other great deals
• Opportunities for further advancement within our organization

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit: Benefits - Sentara (sentaracareers.com) Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth! Note: Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

Keywords: Talroo-health Plan, #Indeed, Bilingual/Spanish, Medical Terminology, Medicare Benefits,

• High School Grad or Equivalent

• Clinical 2 years
• Medical Terminology Previous Experience
• Managed Care 1 year

• Microsoft Word
• Microsoft Excel
• Microsoft Office