Patient Care Specialist III

Millennium Physician Group•North Fort Myers, FL

2d•Onsite

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.

Requirements

Experience with systems like Athena and Carelink.
Experience communicating with patients, family members, and healthcare providers.
Experience coordinating post-discharge visits.
Experience managing new patient referrals.
Experience processing and tracking specialized referrals.
Experience enrolling patients in care management programs.
Experience documenting tasks.
Experience with insurance verification.

Responsibilities

Coordinate, schedule, and confirm new and existing patient appointments using systems like Athena and Carelink; place reminder calls to patients.
Act as the primary liaison, communicating regularly with patients, family members, and various providers and care teams (including specialists, PCPs, home health, and hospice agencies).
Coordinate and schedule post-discharge visits for patients returning home from the hospital or skilled nursing facilities (SNF).
Monitor and manage the coordination of new patient referrals, specifically for house calls.
Process and track specialized referrals (e.g., specialists, home health, hospice, psychiatry), including faxing orders/referral packets and progress notes, and following up to confirm acceptance and scheduling.
Enroll eligible patients in Advanced Primary Care Management (APCM), creating the necessary profiles and uploading consent forms; accurately document time spent on APCM tasks (e.g., home health orders, prescription management, phone calls).
Track referrals, discuss program details with patients, and set up in-person or telehealth visits, including confirming insurance and location details.
Screen and return phone calls to family members on behalf of the Nurse Practitioner (NP).
Perform patient registration, creating profiles in Athena, and accurately adding/verifying patient demographics, new patient insurance, and billing information.
Upload admission packets as needed.
Maintain and track provider census data, monitoring patient appointment cadence, referral status, and ensuring accurate provider and regional assignments in Athena and other tracking systems.
Verify patient insurance benefits.