Care Coordination Assistant

About the role

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Responsibilities

• Entering new referrals and updates all existing patient information in corporate IS systems including demographics, insurance, and benefit information.
• Verifying insurance and benefits for all Medicare, Managed Care and Private Fee for Service Plans.
• Securing authorization for services provided by BayCare HomeCare from the payers.
• Selecting the correct payer codes to provide accurate intake information.
• Understanding medical criteria for securing all required information from the referral source.
• Entering the appropriate financial information including benefits, deductibles, co-pays, coinsurance, out-of-pocket, and another related costs into the EMR system.
• Timely requesting and communicating of authorizations to payer and documentation in EMR.
• The Care Coordination Assistant will work under the direction of the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working relationship with patients, payors and other customers.

Requirements

Facility: BayCare Health System, Care Coordination East - HomeCare

Location: Largo, FL

Status: PRN - As Needed

Education Required: High School Graduate or Equivalent GED; Preferred Technical Diploma – Medical Specialization

Experience Required: 1 year Customer Service; 1 year Insurance Verification; 1 year Medical Related field

This position requires Level II screening through the Florida Care Provider Background Screening Clearinghouse, managed by the Agency for Health Care Administration (AHCA). More information can be found at https://info.flclearinghouse.com.

Schedule

Schedule: 8:00 a.m. - 5:00 p.m., Monday – Friday; Weekend requirement: Occasional On Call - No