Job Description

Position Purpose & Focus

The Care Coordinator is responsible for reviewing and routing consult requests created by clients (the primary care provider) to the AristaMD specialist who will respond to the request. The Care Coordinator is responsible for ensuring all consult requests are complete and contain all required pieces of information. Additionally, the Care Coordinator responds to questions and other issues from AristaMD clients, internal AristaMD team members, and AMD specialists. The Consult Routing Specialist is responsible for ensuring that the contract Service Level Agreements (SLA) are met and escalating cases to management if processing is delayed. 

Essential Duties & Responsibilities (Approximately 85% Administrative / 15% Phone-Based):

• Provide essential support for our eConsult platform and Risk-Bearing Entity (RBE) programs
• Collaborate closely with clinical teams to ensure timely and effective care coordination
• Coordinate patient scheduling and facilitate seamless care transitions across our extensive specialty network
• Conduct targeted provider outreach via phone and email as needed to support operational goals
• Manage provider outreach and track all interactions in our systems
• Track and actively resolve failed fax transmissions
• Accurately track and document all provider interactions within our internal systems
• Maintain accurate and up-to-date records within our platform systems, including Tableau, HelpScout, and Google Workspace
• Manage provider outreach and track all interactions in our systems
• Create and meticulously maintain process documentation and standardized templates
• Assist with Referral Nurse Navigator (RNN) workflow support
• Support the successful implementation of pilot programs and new service offerings
• Actively contribute to process improvements and initiatives aimed at enhancing operational efficiency

Qualifications | Competencies | Success Factors

Qualifications:

• Minimum of 2 years of healthcare administrative experience, or an equivalent combination of education and relevant work history.
• High school diploma or equivalent (required).
• Medical Assistant certification or higher (preferred).
• Healthcare or insurance industry experience (preferred).
• Knowledge of CMS programs or HEDIS measures (not required).

Skills & Competencies:

• Strong medical terminology knowledge.
• Thorough knowledge of HIPAA regulations and a commitment to compliance.
• Exceptional organizational skills, meticulous attention to detail, and strong time management abilities.
• Proficient in data entry, documentation, and the creation of professional templates.
• Excellent written and verbal communication and interpersonal skills.
• Adept problem-solving capabilities.
• Proficiency in Google Workspace (required); Tableau experience (plus).
• Technically adept with a focus on practical application of digital tools.
• Ability to work collaboratively and build strong relationships.
• Ability to adapt and thrive in a dynamic, frequently changing environment, including prioritizing and multitasking effectively in a fast-paced, growth-oriented setting.
• Comfortable and capable of participating in video meetings with your camera on (required).

Success Factors:

• Highly self-motivated, proactive, and takes initiative with a "can-do" attitude.
• Self-directed and capable of working independently in a remote environment.
• Strong sense of urgency, effective follow-up, and commitment to meeting deadlines.
• Accountable and resourceful in identifying and resolving issues independently.
• Exhibits a positive, respectful attitude, acting as a role model.
• Demonstrates excellent customer service.
• Military veterans, spouses, and affiliates are strongly encouraged to apply.

Work Environment:

• This is a fully remote position.
• Standard Monday-Friday schedule; candidates can choose between 8am-5pm EST or 8am-5pm PST.
• Some non-major holiday coverage will be required.
• Must possess reliable high-speed internet access and a quiet, dedicated workspace.
• Candidates must be physically located within the United States.

Note: Due to client contractual requirements, this position is only available to candidates residing within the continental United States. Territories and international locations are not eligible.

KPIs | Metrics

• Consults assigned within prescribed timeframes.
• Minimal operations-driven consult reassignments.
• Timely responses to chat inquiries.
• Help desk tickets closed within prescribed service level agreements.
• Follow-up communications delivered within prescribed timeframes.

Working Conditions

Physical Requirements

While performing the duties of this job, the employee is regularly required …

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