Entry-Level Priority Care Specialist - Framingham, United States - HealthDrive
Description
HealthDrive is seeking an enthusiastic entry-level Priority Care Specialist to join our team The Priority Care Specialist is responsible for the effective procurement and follow-up on documentation required for products and services to be rendered to patients.
What's in it for you:
PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, monthly meal program, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses.
HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities.
Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve.
HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence .HealthDrive is a place where everyone can grow and training is provided. Join our diverse team today
Identify and request documents as needed for products and services
Effective follow-up on outstanding documentation
Tasks include:
Outreach to insurance payers
Outreach to primary care physicians
Coordination of outreach to patients or responsible parties
Coordination of outreach to Sales
Calling responsible parties, facilities for needed assistance
Calling, faxing to insurance companies for prior authorization approvals when needed
Manage documents in queue to ensure:
All outstanding items are followed-up on appropriately
Deadlines for service are met
Pipeline on DME items is efficient
Billing criteria are met
Update computer system as required for documentation tracking, service delivery, etc.
Send all necessary paper work to providers for ordering of hardware items
Scan original documents into the computer system and attach to appropriate patient record
Coordinate and complete documentation mailings as necessary
Order DME items from lab(s) as appropriate/required; includes requesting documentation
Update managers/supervisors with feedback from customers to improve services or provide recognition of staff members
Other duties and tasks may be assigned as appropriate or necessary
Skills & Specifications
This individual must have excellent interpersonal skills and a strong ability to communicate both verbally and in writing. The Priority Care Specialist must be a creative problem-solver and have the ability to follow up consistently and diligently. Be highly organized and professional. Have an ability to pay close attention to detail. Be comfortable in speaking with providers, vendors, customers, and responsible parties as needed. Must be able to work in a fast-paced environment. Ability to navigate in all HealthDrive operating systems. This individual should be self-motivated and have the ability to work effectively with minimal supervision.
Physical Requirements
Ability to sit for long periods of time
Ability to use office equipment such as computer, phone, fax, and copier
Ability to lift up to 10 lbs occasionally for duties related to office work
Education & Qualifications
To qualify for this role the individual must have a minimum of an Associates Degree or equivalent work experience.
Work Environment
Office setting. Desk/Computer/General Office Equipment. The noise level in this work environment is usually light to moderate.
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