Program coordinator • concord ca
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Job Description Summary:
Responsible for coordinating all aspects of patient admission process, from referral to start of care. This includes coordinating with members of intake, marketing, and clinical teams. You are responsible for establishing and maintaining relationships with clients and community partners, responding to client requests/concerns, and managing the insurance verification and authorization process.
Essential Job Functions and Responsibilities:
Enters referral/patient information into the electronic medical record system and other applications as needed.
Supports marketing team with any needs around pending referrals and patient admissions – i.e. request records, order DME, etc.
Coordinates with referral sources, patient families, marketing, and clinical teams to ensure patients successful transition into hospice care.
Ensure compliance with all state, federal, and CHAP referral/intake regulatory requirements.
Establishes and maintains positive relationships with current and potential referral sources.
Ensures insurance verification and authorization process is complete for each admission.
Maintains records of all referrals and current status in coordination process.
Maintain HIPAA compliance with all patient information.
Maintain comprehensive working knowledge of Anchor Health’s contractual relationships and ensure patients are admitted according to contract provisions.
Maintain comprehensive working knowledge of community resources and assist referral sources in accessing such resources should those services not be provided by Anchor Health.
Assist in negotiating service pricing with insurance case managers and other payors within established financial and credit parameters.
Helps to build and maintain community and client perceptions of Anchor Health LLC as a high-quality provider of services.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbent may be requested to perform job-related tasks other that those stated in this description.
Position Qualifications:
High School Diploma required; College Degree preferred.
Proficient in Microsoft based programs preferred – i.e. Outlook, Excel, Word.
Experience in health care, preferably in home care operations.
Demonstrated ability to coordinate and direct professional and administrative personnel.
Ability to work well if a fast paced environment.
Knowledge of corporate business management, governmental regulations, CHAP standards, and private payor practices.
