Specialty Clinic Coordinator

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.