Support Specialist, Hospital Care Management, Full Time, Days

About the role

Support the department by performing as a liaison for payer communication, assisting with patient's transitions of care, and delivery of required regulatory documents. Effective communication skills to engage collaboratively with case management staff, patients/family members, and all other healthcare professionals.

Responsibilities

• Support patient throughput by performing transition of care activities (e.g., referrals and placement for post-acute services, providing notification letters to patient/family regarding regulatory rights, maintaining consistent communication with Post-Acute Providers and Care Management staff).
• Manages all payer communications, including faxes and voice mails from payors for authorizations and denials.
• Communicates with payors regarding discharge dates and dispositions.
• Manages the authorization fields in the EMR and work accounts timely to ensure that billing is processed efficiently.
• Interacts with patients and facilitate communication between care team members.
• Documents communications in the EMR with payors, delivery of forms, and interactions with patients and care team members, as appropriate.
• Performs other duties as assigned.

Requirements

• High School diploma, GED or higher.
• One (1) year of unit secretary, physician practice, health insurance or related healthcare facility experience.
• Strong organizational, time management, problem solving, and critical thinking skills.
• Medical Terminology course/knowledge preferred.

Schedule

Day shift