Capacity Management Coordinator

Responsibilities

• Captures and verifies insurance coverage and eligibility.
• Coordinates and manages the transfer and admission process from various healthcare settings.
• Evaluates and verifies insurance coverage and eligibility by using the Passport/OneSource system.
• Gathers essential patient information from referring physicians and external facilities.
• Makes use of PACs, EPIC, and Smart Web software platforms.
• Directs patient transfers based on established algorithms.
• Collaborates with referring facilities to identify and communicate any constraints related to bed capacity.
• Coordinates and facilitates all Telemedicine calls and encounters.
• Manages the placement and admissions of patients into the hospital.
• Prioritizes and triages placement based on factors such as medical necessity, current location, room availability, and the hospital’s current capacity.
• Collaborates with the hospital supervisors to develop plans that support the hospital’s operations and prevent divert status.
• Supports patient safety regulations, compliance efforts, and billing procedures.
• Takes responsibility for generating system reports and managing work queues.
• Operates within multiple electronic systems to handle the financial and clinical aspects of patient throughput and admissions.
• Collaborates with Case Management and inpatient units to ensure the accurate application of patient class and accommodation codes for billing purposes.
• Collects thorough patient information, enters it into the relevant electronic system, and conducts accuracy checks to ensure data integrity.
• Maintains patient demographics and registration details, making updates as required.
• Participates in managing both planned and unplanned system downtimes within the organization.
• Delivers exceptional customer service with a strong commitment to providing a high level of support and assistance to patients and stakeholders.
• Works rotating schedules, which may include variable hours, weekends, nights, and holidays to meet the staffing and patient care demands of a 24/7 complex health system.

Qualifications

• Six months of related experience, or equivalency.
• Medical Terminology course completed within 6 months of hire.