Patient Care Specialist III

Millennium Physician Group • North Fort Myers, FL

1d

About The Position

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. Beware of fraudulent job postings: While Mosaic Health job advertisements may be found on many sites, our current openings page and its associated Workday account are the only places we accept applications for open roles. If you suspect a job post is fraudulent, please let us know at [email protected]. Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. Learn More about Mosaic Health Learn More about Millennium Physician Group Learn More about CareMore Health Learn More about Castlight Health Learn More about Vera Whole Health

Responsibilities

• 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.
• Maintain census data in Athena including correct House calls provider and region.
• Schedule coordination with APs using CareLink.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed