Patient Access & Care Coordination Specialist

• Directly supports clinical operations across acute and primary care nutrition services and psychiatry by managing patient scheduling insurance and authorization workflows referral coordination and electronic health record (EHR) documentation.

• Responsible for providing measurable impact on patient access revenue integrity claims accuracy reimbursement performance and continuity of care while maintaining strict compliance with HIPAA and organizational policies.

• Support the AAAHC Accreditation Handbook standards particularly in patient rights continuity of care records management and quality improvement.

Patient Access Services:

• Serve as the initial point of contact for patients via phone electronic messaging and in person.

• Schedule appointments across multiple service lines ensuring appropriate visit type provider match and authorization requirements.

• Provide clear compassionate communication regarding clinic services scheduling options and next steps in care.

• Manage appointment confirmations cancellations reschedules and waitlists to optimize provider templates and patient flow.

Care Coordination & Referrals:

• Coordinate specialist referrals ensuring complete and accurate documentation.

• Serve as a liaison between patients providers and external specialists to support continuity of care.

• Track referral status authorizations and receipt of consult notes.

• Assist patients in understanding referral processes next steps and appointment expectations.

Clinical Documentation & EHR Management:

• Ensure accurate timely documentation of patient interactions insurance verification referrals and authorizations in the EHR.

• Coordinate receipt and scanning of external medical records and reports.

• Maintain data integrity to support clinical decision-making billing accuracy and compliance audits.

Insurance Verification & Revenue Integrity:

• Verify patient insurance eligibility benefits and coverage prior to visits.

• Confirm referral authorization and pre-certification requirements for specialty services.

• Accurately enter and maintain insurance and demographic data in the EHR to prevent claims denials.

• Identify potential coverage or authorization issues early and proactively work with patients and payers to resolve them.

• Collaborate with billing and revenue cycle staff to ensure clean claims submission and appropriate reimbursement.

Immunization Compliance:

• Assist prospective and current students with compliance with Florida Atlantics immunization requirements.

• Utilize the vendor application (i.e. Medicat) to facilitate immunization compliance and the release of registration holds.

Compliance & Customer Service:

• Maintain strict compliance with HIPAA privacy and confidentiality standards.

• Deliver high-quality customer service.

• De-escalate patient concerns professionally and route complex issues appropriately.

• Support clinic quality improvement and AAAHC accreditation standards.

• Perform other job-related duties as assigned.