About this role
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.