Patient Care Specialist III

Millennium Physician Group•North Fort Myers, FL

About The Position

The Geriatric Patient Care Specialist serves as a vital link between our elderly patients, their families, and the multidisciplinary care team. This role is crucial for ensuring seamless patient navigation, comprehensive administrative support, and coordination of care services, ultimately contributing to the highest quality of patient outcomes.

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. 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.