- Responsible for conducting pre-visit planning, outreach, scheduling and verification activities for preventive services, care gaps, immunizations, medication reconciliation and Annual Wellness Visits (traditional Medicare, Medicare Advantage and commercial)
- Conducts chart reviews and ensure all diagnostic results, specialists reports, medication refills and other clinical requests/orders are complete and available for the provider; When necessary, call to obtain results; note any missed diagnostic tests or specialist referrals
- Review available insurance payor reports to identify gaps in care, medication adherence opportunities and document care opportunities in the medical record as a pre-visit note
- Uses sound clinical judgement to ensure medical record is fully prepared for the physician at the time of the patient's visit
- As needed, pre-registers patients including collecting and/or updating patient demographic and billing information, verifying insurance coverage, etc
- Maintain a current and working knowledge of HEDIS quality measure specifications, care requirements and eligibility specifications associated with different types of wellness visits
- Strong collaboration with the practices through effective communication, compassion, and appropriate judgement in patient care
- Excellent communication and advanced organizational skills are required
- Informs patient of any/all necessary pre-procedure preparations, as directed by the practice or per written practice protocols
- Works closely and coordinates with hospital case managers to schedule discharged patients for a post-discharge appointment, conduct transitional care call within 48 hours post discharge, ensures discharge summary is available and documented in the medical record
- Associate's degree or Medical Assistant formal training preferred
- 5+ years' experience required preferably in a physician office/ambulatory setting
- Certified Medical Assistant
- Strong organizational skills
- Ability to work in a team environment
- Computer Skills: Excel, Word, Outlook, Medical Billing Software Systems
- Excellent communication skills and ability to work in a team environment.
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remote patient care specialist - Denver, CO , USA, United States - LifePoint Hospitals
Description
The Physician Services Revenue Integrity team at Lifepoint Health is a nationwide revenue cycle management services provider that has been offering high quality medical billing services since 2004.
We offer a rewarding work environment with career advancement opportunities while maintaining a small company, employee-focused atmosphere.This is a fully remote position You must live in the United States.
We believe that success is achieved through talented people.
We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
We are always looking for people inspired to help us in our mission.If you are someone who wants to change the lives of patients, drive success for our partners and be part of a team driven to improve care, we may have your next opportunity.
We are currently searching for a Remote Patient Care Specialist.
The Remote Patient Care Specialist works to enhance patient satisfaction and clinician efficiency through a collaborative approach to patient care.
Position is 100% remote and supports the local care team by conducting pre-visit planning and patient care support to ensure all needed information is available at the patient's appointment.
Care opportunities are identified, and patient outreach and scheduling conducted when needed.General Duties and Responsibilities
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell.
Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
BenefitsAt LifePoint, our Mission of Making Communities Healthier extends to our employees. We offer an excellent total compensation package, including a competitive salary and benefits.
Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program.
We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.
We also offer a flexible, remote work environment.Pay Range:
$1- 20/hour The final agreed upon compensation is based on individual education, qualifications, experience, and work location.
Lifepoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
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