Case Manager Assistant, Full-Time, 8am-4:30pm Job at Flagler Hospital Inc
- Issue regulatory letters to include: Discharge Important Message from Medicare, MOON, and HOON with documentation of such in AllScripts. Notify RN Case Manager if further explanation to the patient is needed.
- Monitor Sfax for insurance authorizations. Transfer fax to the appropriate RN Case Manager’s Sfax folder.
- Monitor Sfax for insurance denials. Transfer fax to the appropriate RN Case Manager’s Sfax folder and notify that RN Case Manager of the denial verbally or telephonically.
- Transfer PFM Medicare eligibility note from PFM to ACM.
- Verify initial Important Message from Medicare, HOON, or MOON are properly scanned into SCM and document such in the ACM note.
- Obtain current and retrospective insurance authorizations telephonically and notify the appropriate RN Case Manager.
- Answer incoming calls to the department. Transfer calls to the appropriate RN Case Manager’s or Care Coordinator’s phone.
Experience
Preferred- Preferences: Basic medical knowledge. Basic computer knowledge (MS Suite – Word, Excel, etc.)
Education
Required- High School or better
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