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Specialty Clinic Coordinator

Open 46d

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.

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