Manages ongoing contract relationships and service delivery to clients for up to 30 accounts Acts as outward facing, dedicated resource for assigned accounts, typically with direct client contact (not call center) and large or complex accounts Builds relationships with Provider leadership and serves as the primary point of contact for overall and day to day service delive

Serve as a resource or Subject Matter Expert (SME) for other team members or internal customers. Handle escalated calls, resolving more complex customer issues in a one and done manner. Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and expl

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Greets patients as they arrive and manages wait time Complete check in and check out tasks to include insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company policies Processes wa

Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families Complete all SNF concur

Works with the providers and clinic staff to identify patients with chronic disease diagnoses Supports longitudinal care of the patient with stable chronic care conditions by Performing focused assessment of chronic care conditions Performing medication reconciliation Conducting Motivational Interviewing and Self Management Goal setting Providing patient education using s

People Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements Service Work closely by way of problem solving with peers and leaders to address cash reconciliation issues or changes that directly impact the accounts receivable Process all incoming correspondence for the department Accurat

Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Complete patient referrals and patient callbacks daily Maintain clinical supplies and equipment and ensure proper storage of biohazards Clean exam/procedure rooms, instruments, and equipment between patient visits to maintain infection control You'll be rewarded and recognized fo

Accuracy of cost of goods in internal systems and ensuring all product purchases are executed under the preferred contract and price Collaborate with contract sources including GPOs (Group Purchasing Organization), manufacturers and wholesalers to establish standard cadences and formats for catalog and price updates Manage day to day relationships with GPO partners includ

Demonstrates clinical competence in the direct care of patients in established area(s) of practice, and assisting MDs with procedures Performs clinical duties within scope of practice complying with the accepted CareMount Medical and/or individual department standards, policies, and protocols Demonstrates a proactive approach to patient care, focusing on addressing each p

Monitor day to day operations of the SPARCS Intake System including incident reports, defect tracking and resolution, extract generation, and maintenance and release activities Serve as a key resource on complex and/or critical issues Solves complex problems and develops innovative solutions Perform complex data analysis primarily in SQL to support operations Collaborate

Provides exceptional customer service to all consumers and members of the clinic staff Fills prescription orders and makes them available for verification under direct supervision of the registered pharmacist Orders, receives and stores incoming pharmacy supplies Receives and processes wholesaler medication orders Verifies medication stock and enters data in computer to m

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information Gathers necessary c

Assists in documenting standard operating procedures and business rules for the department Communicates with superiors, peers, employees, internal and external customers, and others, as appropriate, on a regular basis, assuring proper flow of information Assists in resolving problems relating to all areas of Patient/Third Party billings and missing information Responds to

Assisting in the review of medical records to highlight Star / HEDIS opportunities for the medical staff. Review medical records for data collection, data entry, and quality monitoring including health plan / WellMed form submission and chart collection activities that close gaps in care. Partner with the leadership team, the practice administrative or clinical staff to i