Care Coordination Specialist
Kaweah Health•Visalia, CA
•$22 - $34
About The Position
The Care Coordination Specialist ensures that hospitalizations are communicated to the appropriate payer source in a timely manner. The role works with Case Managers across floors and campuses to communicate patient cases and changes to level of care, and applies payer rules and guidelines, including those for Medicare and Medi-Cal. The specialist identifies payer and registration issues, tracks trends, and collaborates with Financial Counselors and other team members to ensure tasks are completed promptly and accurately.
Requirements
- Ability to multi-task.
Nice To Haves
- High school diploma or equivalent.
- Previous experience with health insurance guidelines.
Responsibilities
- Work with Case Managers on various floors and campuses to communicate about patient cases and changes to level of care.
- Apply knowledge of insurance payers’ rules and guidelines, including Medicare and Medi-Cal.
- Notify the appropriate payer source of a patient’s stay in a timely manner and communicate issues to the Supervisor.
- Identify trends or issues with registration quality and communicate them to appropriate members of Leadership.
- Multi-task and work on numerous accounts when waiting on insurance companies.
- Track and trend payer issues; attend payer meetings when scheduled and communicate issues.
- Identify uninsured or underinsured patients and work with Financial Counselors when applicable.
- Collaborate with the team to ensure all items are handled in a timely manner.
- Quality-check and scan own work into EDM.
- Demonstrate the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
- Perform other duties as assigned.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Education Level
High school or GED
