Care Coordination Assistant

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 updating 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 other related costs into the EMR system.
• Timely requesting and communicating of authorizations to payer and documentation in EMR.
• Working 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

• High School Graduate or Equivalent (GED Preferred).
• Technical Diploma – Medical Specialization.
• 1 year of Customer Service experience.
• 1 year of Insurance Verification experience.
• 1 year of experience in a Medical Related field.

Schedule

• PRN - As Needed.
• 8:00 a.m. - 5:00 p.m., Monday – Friday.
• Weekend requirement: Occasional.
• On Call: No.

Location: Hybrid - Largo, FL