The Palliative Care Coordinator provides assistance and coordinates the performance of various administrative, operational, and billing functions for the palliative care team. The functions include, but are not limited to, coordinating the billing/invoice process, authorizations, scheduling, communicating with patients/families/referral sources, and assisting with other administrative tasks. This role requires the ability to handle multiple processes simultaneously and prioritize and complete work within strict timeframes.
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Accountability: Reports to the CEO
FLSA: Hourly/Non-Exempt
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Essential Job Functions:
- Assists with pre-billing cycle to prepare claims for submission by billing company
- May perform audits of patient accounts to ensure accuracy of information
- Ensures accurate and compliant coding
- Assists with administrative duties for the Palliative Care department including scheduling for providers
- Performs other clerical/administrative duties as needed
- Communicates the hospice and palliative care benefits, with patients, patient families, or representatives, ensuring accurate information is provided, needs and preferences are assessed and refers patient for appropriate services
- Inputs palliative care patients into EMR with accuracy
- Ensures admission paperwork has been completed and is scanned into the patient’s medical record
- Completes care coordination under the direction of the medical provider
- Completes daily and weekly activity report to communicate progress on referrals, rejected referrals, admissions, and pending admissions
- Other duties as assigned
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Additional Functions:
- Adheres to patient rights, abuse reporting, and confidentiality policies
- Attends scheduled staff meetings and in-service training
- Adheres to the departmental dress code requirements related to personal grooming and attire
- Participates in Performance Improvement activities as requested
- Demonstrates reliability by making every attempt to report to work on time, providing proper notification for absence or tardiness, and follows policies related to time off requests
- Assumes responsibility for on-going personal development and continuing education
- Seeks guidance from supervisors as needed
- Provides excellent customer service while maintaining a positive attitude and producing high-quality work
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Physical/Safety Requirements:
- Must have the strength and endurance required to perform all job functions
- May be required to sit for extended periods of time, push, pull and lift up to 25 lbs., go up and down stairs, walk as needed
- Utilizes appropriate PPE as needed
- Able to follow the designated plan of action in the event of a fire or other emergency/disaster
- While performing the duties of this job, the employee is regularly exposed to fumes or airborne particles, work-related stresses, and driving hazards
- The individual may be required to drive to meetings with clients, health care professionals or patients’ homes
- Must be able to utilize appropriate basic office equipment
- Must use appropriate body mechanics as needed
- While performing the duties of this job, the employee is regularly exposed to fumes or airborne particles and work-related stresses
- Position is Category 2 for potential exposure to blood/body fluids. (Does not usually require the performance of procedures or other tasks in the work routine that involve exposure to blood, body fluids or tissues, but Category 2 tasks may require the unexpected performance of these procedures)
- The noise level in the work environment is usually minimal
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
In compliance with the Americans with Disabilities Act of 1990, the employer will provide reasonable accommodations to meet the work environmental and physical demands listed above.
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Qualifications and Experience:
- Must be a certified Medical Assistant
- Must have working knowledge of insurance verification process
- Associate’s degree in business administration is preferred
- Must possess excellent customer service skills and strong written and verbal communication skills
- Must be detail oriented with the ability to prioritize and complete tasks in a timely manner
- Must be able to research and analyze data
- Must be able to work independently with minimal supervision
- Must be able to establish and maintain effective professional working relationships with providers, management, staff, vendors, and contacts outside the organization
- A working knowledge of relevant state and federal Hospice regulations is required
- Proficiency in MatrixCare is preferred
- Must have excellent data entry and Microsoft Office skills
- Must have excellent communication and interpersonal skills
- The ability to work under pressure is required
- Must have excellent organizational skills
- Candidate must be comfortable asking questions or presenting concerns
- Must successfully complete a background check pursuant to NRS 449.188 and NRS 179A.100 along with a pre-employment drug screen and physical, TB testing, previous employment and reference checking, and an MVR, (may include verification of education)
- Must have reliable transportation, possess a valid driver’s license, and current auto insurance
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Benefits:
Welcoming Culture
Paid Time Off
NV Paid Leave
Medical Insurance
Dental & Vision Insurance
Voluntary Ancillary Insurance
Paid Holidays
Floating Holiday
401k with Company Match
Employee Assistance Program
Employee Discount Program