Answers 50 70 calls from patients, resolving moderate to complex issues. Schedule and verify appointments in clinical information system. Verify and update patient demographic and insurance information. Send and receive tasks to Provider offices to assist patient with access to medical care. Receive and process; expedite stat and at risk referrals. Contact patients to inf

Conduct comprehensive assessments Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care t

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. As a Licensed Autism Care Advocate, you will work directly with providers to review medical necessity for Applied Behavior Analysis (

Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation Keep abreast of current coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI current trends Effectively utilizes ICD 10 and related materials to investigate coding issues and produce accurate r

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting Obtains referral, authorization and pre certification information and documents this information in system Identifies outstanding b

Primarily answering prior authorization with inbound calls (up to 50 to 70 calls per day) from providers/members as well as research and resolve formulary and benefit issues using the appropriate reference material Process authorizations through various computer systems and use of job aid/policies/procedures ensuring the accuracy of all data and updating as necessary Have

Maintains up to date knowledge of specific registration requirements for all areas, including but not limited to Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration Properly identifies the patient to ensure medical record

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Process, pack, and ship outgoing pharmacy orders, ensuring drug, related supplies, and patient collateral (education materials) are included May also perform ordering and inventory / warehouse duties, including proper storage and appropriate refrigeration of perishable product Properly pack product as required by Standard Operating Procedures Daily box preparation work Cr

Verifies insurance eligibility and benefits on all assigned accounts using electronic verification systems or by contacting payers directly to determine level of insurance coverage. When contacting payers directly, utilizes approved scripting Obtains referral, authorization and pre certification information and documents this information in system Identifies outstanding b

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include patient demographic verification, insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and da