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LPN Palliative Care Coordinator - Dayton, United States - Gentiva
Description
Our Company
Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care.
Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment.
We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees.
Here, you'll join gifted colleagues who make a lasting difference in people's lives every day.Overview
We are looking for a Care Coordinator AIM to join our team.
This position will directly report to the Director of AIM and is responsible for managing all day to day business affairs and other operational activities related to the administration of the advanced illness management (AIM) and palliative care department by performing the following duties personally, including intake function, billing function, medical record maintenance function, and marketing function.
Essential Functions of PositionCoordinate and direct all day-to-day operational activities related to the administration of the AIM and palliative care department.
Process referrals by obtaining sufficient admission and insurance information in order to ensure appropriate and timely admission of patients.
Record the outcome of calls either manually or in an automated manner, make follow-up calls as necessary, and identify/refer to alternative resources when applicable.
During business hours, contact the patient and family within 1 hour of referral to inform of receipt of referral information.
Maintain communication with pending patients, their families, and referral sources and routinely follow the progress of prospective patients and those referrals not taken under care (NTUC).
Coordinate and maintain effective and efficient scheduling for the Nurse Practitioners to include geographical considerations that may impact time management and company cost.
Ensure appropriate reimbursement by identifying potential payer sources, verify benefits with payer sources (as required by department organizational structure), obtain initial authorizations if necessary.
Advise AIM Team of patient acceptance of services and provide all relevant information including accurate insurance and admission information in order to ensure appropriate disclosure of rights and responsibilities, financial liabilities and benefit plan details to patients and their family (if applicable).
Coordinate information for interdisciplinary team meetings and other essential meetings of the AIM Team.
Submit all information from site to Billing Department required for timely billing and collection of charges.
Work with Billing Department staff on timely responses to all billing denials, requests for additional information, and post-payments audits of submitted claims.
Establish and maintain professional and productive relationships with all referral sources, including the Gentiva family of companiesAct as a resource for customers and community as a whole regarding AIM, Palliative Care, and Hospice.
Maintain standard of high quality customer service, and monitor and track referral sources' satisfaction levels. Identify opportunities for additional or improved services to address unmet customer needs through family and physician satisfaction surveys. Communicate customer service issues to the Director as appropriate.
Participate, as applicable, with quality assurance and performance improvement activities for AIM program and necessary data collection and reporting.
Implement marketing and promotional initiatives as directed by the Director.
Adhere to and participate in Company's mandatory HIPAA privacy program/practices, Business Ethics and Compliance programs/practices, and all Company policies and procedures, including the Employee handbook.
About You
High school graduate or equivalent. RN or LPN preferred
College graduate preferred.
Minimum of three years health care delivery or related business experience required; experience in Part B billing setting preferred.
Experience with Computer applications and Electronic Medical Records.
Strong knowledge of medical terminology and a customer service focus.
Knowledge of insurance reimbursement process.
Effective data entry and word processing, problem-solving, human relations, and oral/written communications skills.
Some travel may be required as requested.
We Offer
Comprehensive Benefits Package:
Health Insurance, 401k Plan, Tuition Reimbursement, PTO
Opportunity to participate in a Fleet Program
Competitive Salaries
Mileage Reimbursement
Professional growth and development opportunities
Legalese
This is a safety-sensitive position
Employee must meet minimum requirements to be eligible for benefits
Where applicable, employee must meet state specific requirements
We are proud to be an EEO employer
We maintain a drug-free workplace
ReqID:
Category:
Administrative/Clerical
Position Type:
Full-Time
Company:
Empatia
Type of Service:
Palliative Care Only
