Patient Care Specialist III

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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 c hronic c are m anagement- call insurance to obtain authorization for t ransition of c are visits. Moni tor and coordinat e new patient referrals for house calls Patient registration, create A thena profile for new pts, add and verify insurance and demographic information. Enroll in c h ronic c are m anagement and c reate CCM p rofile and upload consents for patients. Document after hours call notes in chart. Sched ule 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 T CM s, 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 m anagement 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 h ome health orders, prescription refills/ management , phone calls, etc. Liaison between p atient, c are teams and p rovider - c ommunicate with the patients/family members as needed for providers Assist with c apacity, documents and General letters.

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