Central Discharge Team - Practice Operations Specialist

POSITION SUMMARY:

The primary purpose of the job is to serve as a liaison for patients in all communications regarding care rendered in the department. Serves as a liaison with patients facilitating access to care, gathering information for registration, schedules appointments, verify demographics and financial information. Obtains pre-authorization from insurance carriers. Responds to faxes and phone calls from patients, BMC departments and outside Facilities. Assists the Department to meet targets. Facilitates communication as follows: between patient and providers, nurse practitioners and medical assistants* Between patient's referring physician and BMC other departments, including assuring that correspondence is disseminated properly * Between providers and office support personnel.

Position: Central Discharge Team - Practice Operations Specialist       

Department: Inpatient Operations

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

Manage daily list of responsibilities including but not limited to: 

• Coordinate internal discharge follow up care for a variety of Primary and Specialty care practices
• Coordinate external discharge follow up care
• Call patients post discharge to check on health condition and confirm appointments. Escalate to clinical leaders as needed
• Report issues to supervisor regarding provider SER record discrepancies
• Track all work completed within detailed spreadsheet and provide daily update to supervisor
• Take on special projects as assigned
• Etc.
• Liaise with project stakeholders on an ongoing basis.
• Identify and resolve issues and conflicts within the project team.
• Proactively manage changes in project scope, identify potential crises, and devise contingency plans.
• Support internal department initiatives and requirements outside the scope of specific project work
• Establishes and implements policies and procedures to ensure that operational aspects are addressed and properly communicates outcome measures to team members.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job.  The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

High School diploma required. Additional professional certifications or completion of business school preferred. Requires thorough knowledge of managed care with 3 years of experience of financial clearance. 3 years of referral scheduling experience preferred.

KNOWLEDGE AND SKILLS:

• Working knowledge of managed care: overall understanding of HMO, PPO, and others; proficient knowledge of process of obtaining insurance approvals, referrals, billing, and co-payments.
• Experience handling patient flow is helpful
• Requires strong computer skills and knowledge of the PC applications. Windows environment and Microsoft Office products preferred. Knowledge of the Eclipsys SDK system, Caretracker and IDX or other comparable registration systems a plus.
• Excellent English communication skills (verbal and written).
• Excellent professional demeanor. Must be able to work effectively with all levels of staff and management
• Excellent interpersonal skills. Must be able to show empathy and be courteous and diplomatic with patients.
• Must frequently work independently, take initiative and handle multiple tasks with conflicting priorities
• Team player with ability to work cross-organizationally to get issues resolved.
• Ability to maintain confidentiality.

Bachelors degree strongly preferred or 3+ years experience.

Equal Opportunity Employer/Disabled/Veterans