Palliative Care Operations Specialist
- Degree in health care or related field preferred
- Current Driver's License & Reliable Transportation
- Must provide ongoing valid and current auto liability insurance
- At least three (3) to five (5) years of experience in health care, preferably in hospice operations
- Knowledge of corporate business management, governmental regulations and private payer practices
- Experience with EMR software is a plus
- Coordinates referral information, receives required information from referral sources, enters information into EMR, and collaborates with clinical team in a timely manner.
- Interacts with other staff to ensure all patients advance through the registration process and are scheduled to be seen in a timely manner.
- Verifies insurance benefits and pre-authorization as required by specific insurance plans.
- Receives inbound calls and places outbound calls to patients.
- Develops and maintains effective working relationships with Physicians, Case Managers, Managed Care Organizations, and other pertinent payer/referral sources.
- Maintains and always protects the confidentiality of patient information, enforces patient rights regarding privacy, personal property, and grievances.
- Update and monitor patient statuses based on provider feedback.
- Communicates timely and accurately with referral sources and other departments to ensure coordinated and comprehensive care.
- Ensures all documents are received from third parties and internal documents are completed to process referral and admissions.
- Provides effective communication with patient/family, team members, and other healthcare professionals to educate on insurance benefits.
- Complies with Medicare, Medicaid, and HIPAA regulations and requirements always.
- Performs other duties as required.
We are dedicated to providing compassionate care to seriously ill patients while using innovative technology and program outcomes focused specifically on the needs of patients living at home with a serious illness. It is this Agency's policy to provide equal employment opportunities without regard to age, race, color, religion, military status, gender preference, sex, marital status, national origin or disability.
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