After Hours Clinical Operations Assistant
3 weeks ago
The Inpatient After Hours Coordinator Level II is responsible for facilitating efficient patient care within established timeframes. This involves utilizing established guidelines and reporting directly to the After Hours Lead.
This role requires strong communication skills and the ability to effectively present information to peers and management. Multitasking and proficiency in Microsoft Office, particularly Outlook, Word, and Excel, are essential.
Duties and Responsibilities:
- Generate authorization numbers and send copies to vendor hospitals per Afterhours Nurse directive.
- Assist with repatriation of patients from out-of-network facilities to their contracted/capitated facility.
- Verify patient eligibility using EZ Cap, Health Plan website, Medical website, and Passport.
- Support Afterhours Nurse Case Managers by calling hospitalist/specialist, sending transfer packet, following up on bed status, arranging transfer transportation, and confirming arrivals.
- Call the hospital to request clinical reviews or medical records and archive into EZ CAP.
Required Skills and Qualifications:
Three years of experience in a managed care setting, medical office, or facility setting with demonstration of medical administration duties is required. High School Diploma or GED required; Associate degree preferred.
Estimated Salary: $58,000 - $68,000 annually, based on location and industry standards.
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