Job Description Summary
Support the clinical staff which includes scheduling, processing new patient referrals and cases, and work buckets.
How will you make an impact & Requirements
Essential Duties and Responsibilities include the following. Individual duties vary by market. Other duties may be assigned.
• Enter new patient insurance and billing info to verify insurance benefits. • Insurance authorizations for specialist referrals and chronic care management - call insurance to obtain authorization for transition of care visits. • Monitor and coordinate new patient referrals for house calls • Patient registration, create Athena profile for new pts, add and verify insurance and demographic information. • Enroll in chronic care management and create CCM profile and upload consents for patients. • Document after hours call notes in chart. • Schedule coordination with patient appointments. • Call patients to schedule visits and call for appointment reminders.
• Track provider census data with tracking system. This includes tracking referrals, new patient appointments, and monitoring census data to ensure all patients are seen on a regular cadence. • Maintain census data in Athena including correct House calls provider and region. • Schedule coordination with APs using CareLink. This includes scheduling patient in with other patients in close proximity based on zip codes. • Rescheduling appointments due to high needs TCMs, stat referrals and provider conflicts. • GUIDE program-tracking referrals, calling patients to discuss program, set up in person visits/telehealth visits. Also confirming insurance and location. • Case management assistance - coordinate and schedule visits for patients who discharge from the SNF or hospital. • Coordinate care with visits for AL/IL patients. • Triage and return patient messages • Upload admission packets, insurance documents to Athena • Pull hospital and medical records for TCM visits. • Enter time spent in CCM - for tasks such as home health orders, prescription refills/management, phone calls, etc. • Liaison between patient, care teams and provider - communicate with the patients/family members as needed for providers • Assist with capacity, documents and General letters.