Support Services Coordinator
|January 21, 2013 - February 21, 2013|
|Location:||San Antonio, TX|
|Benefits:||Employer Paid Benefits|
|Employment Type:||Full Time|
|Description:||HealthTexas is seeking a Support Services Coordinator to assist and support the following departments; Referrals/Medical Management/Special Programs by completing various clerical and administrative duties. This candidate would assist with data entry, customer service, maintenance of logs and worksheets for inpatient functions and special projects.|
|Duties:||•Provide clerical support to Referral Dept and case managers to include quarterly health plan referral audit, quarterly catastrophic review and special projects.|
•Provide customer service by answering incoming calls and routing telephone calls in department, taking messages when appropriate. Communicate referral/ case management information to individuals calling the department.
•Answers and schedules, confirms and reschedule appointments for HTMG Special Program patients. (Diabetic Educations, Stress Management, Spiritual Classes)
•Mail out information packets to members for all special programs.
•Make copies as needed and prepare all material for classes.
•Data entry of routine radiology referrals and progression by experience.
•Prepares and mails out all referral notifications to patients on a daily basis.
•Receives return mail and notifies clinics of address updates and updates managed care system.
•Verifies eligibility for all Dialysis, Hospice, Custodial and Special program patients.
•Receives case manager worksheets and updates, maintains and transmits hospice, custodial and census logs daily.
•Receives and logs NODMAR letters daily.
•Contacts custodial facilities by telephone to confirm patient status monthly.
•Monitors in-coming fax correspondence and distributes to appropriate staff.
•Assist and monitor care and maintenance of department equipment and supplies.
•Other duties as assigned.
•To perform this job successfully, an individual must be able to provide excellent customer service and have experience in a healthcare environment.
|Qualifications:||High School Diploma or GED|
-2 years minimum in a healthcare environment
-Required:Knowledge of insurance plans (Managed Care- Secure Horizon)
-Required: Knowledge of CPT, HCPCS, and ICD-9's
-Understanding of HIPPA guidelines
-Working knowledge of Word, Excel, and Outlook
-Must be able to multi-task, meet deadline and be a team player,
-HealthTexas does not hire tobacco users.
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