What are the responsibilities and job description for the Case Manager position at Ozark Physical Medicine Center for Operations?
Description
Communicate with appropriate parties to obtain medical referrals/authorizations and ensure patient and financial obligations are validated and met prior to patient’s treatment and/or visit.
Position Responsibilities
Referral Coordinator aka Intake will process all inbound referrals from community referring providers and primary care providers.
Answer phones and collaborate with Front Desk in obtaining new patient demographic information and necessary insurance related information to validate patient’s eligibility.
Will coordinate and assure the smooth flow of the referral and authorization process to meet the needs of our patients.
Responsible for patient and insurance verification using automated eligibility verification systems, online portals and/or telephone communications.
Develop relationships with referral sources, maintain and foster a network of contacts for promoting practice services.
Use Electronic Medical Records for scheduling/maintaining patient records and appointments
Ability to cross train and assist
Collaborate with referral sources to obtain required compliance paperwork necessary for respective treatment/service.
Work closely with supervisor to ensure daily processes are being followed and kept efficient.
Represent the organization professionally and positively.
The ability to educate and refer patients to our internal services as deemed fit
Perform other duties as directed.
Desired Skills
SKILLS DESIRED
Ability to build strong rapport with patients and Referral sources.
Strong attention to detail
Excellent analytical and critical thinking skills
Excellent verbal and written communication skills and the ability to communicate effectively with patients, providers and payers
The ability to multitask
Must be a self-starter
Reliable team member
Strong commitment to actively supporting an ethical open working environment.
Working knowledge of Word and Excel
Ability to excel in a team-based environment
Job Conditions
Position is stressful in terms of meeting deadlines.
It is primarily a desk job which essentially involves sitting, standing, stooping and walking, as well as an inordinate amount of telephone communication.
It requires minimal lifting of office records and printouts.
The ability to read 12 point and larger type is required.
One must be able to hear adequately on the telephone with no more than an amplifier and be able to communicate both verbally and in writing in English.
Qualifications
1-3 years’ experience in case management or diverse clinical experience.
Must be computer literate and able maintain simple records in English.
Must have a criminal background check.
