Patient Service Representative PACE

2 weeks ago

Dyer, United States Franciscan Health Full time

Franciscan Senior Health and Wellness (PACE)

8325 Southport Road Suite 120 Indianapolis, Indiana 46259

WHO WE ARE

With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

The PACE program's vision statement is to provide unmatched, individualized, and joyful care through teamwork that is worthy of praise so that seniors experience the best quality-of-life in their communities. PACE offers seniors and their families the care, nutrition, rehabilitation, transportation, and supportive services they need to remain healthy so that they can live in their own home. Franciscan is known for our mission of caring.

Ideal candidate will have Geriatric experience in home health, hospice, or long-term care office settings. Candidate would thrive in a fast-paced, collaborative, and creative environment.

The PACE Patient Service Representative (PSR) is responsible for all activities related to scheduling specialty appointments deemed necessary by the PACE Interdisciplinary Team (IDT). The PSR supports the program with additional responsibilities such as reviewing referrals, managing work queues, authorizations, faxing, billing, and claim reports. The PSR reports to the PACE Center Manager and works collaboratively with the IDT, center staff, and external partnerships through a broad means of communication. This role works closely with the PACE Transportation Supervisor to support effective transportation operations as well as the PACE Clinic for continuity of care with specialty appointments. The PACE program's vision is to provide individualized and joyful care through exemplary teamwork serving as many seniors as possible with the best quality-of-life in their communities. PACE offers seniors and their families the care, nutrition, rehabilitation, transportation, and supportive services they need to remain healthy so that they can live in their own home.

WHAT YOU CAN EXPECT

  • Practice Hours: Monday - Friday, 8:00 a.m. - 5:00 p.m.
  • No Weekends, Evenings, or Holidays
  • Coordinates external/specialty appointments and procedures for all PACE program participants in EMR and informs participants, caregivers, and IDT of appointment details
  • Follows PACE IDT approval process for authorization of all external/specialty and follow-up appointments
  • Coordinates with PACE Transportation Supervisor to configure transportation schedule
  • Enters authorizations for all approved and scheduled appointments
  • Follows instructions of PACE Provider Services Coordinator related to claim/billing needs
  • Reviews and completes weekly claim pend reports
  • Communicates necessary authorization information to contracted providers
  • Receives participant bills and coordinates with offices to correct billing procedures
  • Covers multi-line phone in absence of PACE Secretary
QUALIFICATIONS
  • High School Diploma/GED- Required
  • Associate's Degree- Preferred
  • 3 years Administrative or Scheduling- Required
  • 1 year Healthcare - Frail or Elderly Population- Required
  • Basic Life Support Program (BLS) - American Heart Association- Within 90 Days- Required
  • Driver's License- Required
  • Medical Terminology Course- Preferred


TRAVEL IS REQUIRED:

Never or Rarely

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

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