Medical Insurance Coordinator

Medical Insurance Coordinator

                                                        Medical Insurance Coordinator

                                                                    Monday - Friday 

                                                                8:00 a.m. - 4:30 p.m.



Visiting Nurse & Health Services is seeking a qualified candidate to be responsible for tracking and maintaining ongoing Face to Face documentation in compliance with CMS guidelines.



Candidate will also be responsible for:

1.         Questions/Issues regarding Face to Face compliance and billing regulations will be

            directed  to Vice-President of PQI.

 

2.        Maintains daily log and status of received Face to Face documentation. Review documents

            for accuracy and processes completed documents to HIM.

                             

3.          Develop, implement and maintain tracking spreadsheet for all Face to Face documentation

            and pending list.

  

4.         Telephone calls to follow-up with physicians, SNF or other referral sources regarding

            the completion of Face to Face requirements.

 

5.         Works with family and patients for follow-up physician appointments.

                          

6.         Input Peco’s/NPI number of new physician.

                 

7.         Utilizes Agency generated reports to support Agency tracking spreadsheet.

                a)      Notifies and works closely with Referral Center/Clinical Managers regarding

                          patients who  have been re-hospitalized or those patients having difficulty

                          obtaining physician visits, or pending Face to Face in compliance with Face to

                          Face regulations.

                b)      Maintains, implements and distributes weekly reports to Clinical Managers.

                c)      Provides back-up to Intake.

 

8.         Covers referral center as needed.   Responsible for identifying and obtaining all necessary

             information for referrals.

   

 

Requirements:

Qualified candidate to have LPN  license or medical knowledge and experience.  Candidate must possess excellent customer service skills, organizational skills, communication skills, must be detail oriented and able to work in a fast -paced environment while prioritizing tasks.

Candidate to receive competitive salary and benefits to include:

• Medical and Dental insurance effective 1st of the month following date of hire.
  
• 401K with employer match
  
• Life Insurance
  
• Long-Term Disability
  
• Mileage reimbursement of .50 cents per mile
  
• Generous Paid Time off
  
• Tuition reimbursement up to $5,000 per year

To apply, you may submit you application on-line.



**No Phone calls please**