Inpatient After Hours Coordinator Specialist
4 days ago
The Inpatient After Hours Coordinator Level II plays a vital role in ensuring seamless patient care at MedPOINT Management. As an integral member of our team, you will work closely with After Hour Nurse Case Managers to coordinate patient care within established timeframes and guidelines.
About the Role
This position requires strong organizational and communication skills, with the ability to multitask and prioritize tasks effectively. You will be responsible for generating authorization numbers, assisting with repatriation of patients, and verifying patient eligibility. Additionally, you will support Afterhours Nurse Case Managers by calling hospitalists/specialists, sending transfer packets, and following up on bed status.
Key Responsibilities
· Generates authorization numbers (e.g., inpatient, transportation, ARU, SNF/SAU, etc.) and sends copies to vendor hospitals per Afterhours Nurse directive.
· Assists with repatriation of patients from out-of-network facilities to their contracted/capitated facility.
· Ensures contracted Hospitalists/Specialists are utilized for admissions, transfers, and repatriations.
· Verifies patient's eligibility using EZ Cap, Health Plan website, Medical website, and Passport.
· Supports Afterhours Nurse Case Managers by calling hospitalist/specialist, sending transfer packet, following up on bed status, arranging transfer transportation, and confirming arrivals.
· Calls the hospital to request clinical reviews or medical records and archives them into EZ CAP.
· Assists in reaching out to hospitalist (e.g., FCS, AHCN, CVIPA, PPN, Prudent) for any discharge needs.
· Exhibits consistent behavior and communication skills that demonstrate commitment to superior customer service, including quality care and concern with every internal and external member.
· Seeks assistance and escalates issues when needed from the After Hours Lead/Senior Nurse.
· Performs other duties as assigned by After Hours Lead/Senior Nurse.
Requirements
· Requires a High School or GED.
· Preferred an associate degree in a related field.
· Required 3 years of experience in a managed care setting, medical office or facility setting with demonstration of medical administration duties.
· Intermediate knowledge of medical terminology and/or experience with CPT and ICD-10 coding.
· Intermediate ability to multi-task.
· Required intermediate Microsoft Outlook Proficient in Microsoft Office such as Outlook, Word, and Excel.
· Intermediate demonstrated interpersonal/verbal communication skills.
· Intermediate ability to effectively present information and respond to questions from peers and management.
· Schedule will vary but must be available for a minimum of 5 shifts per week, weekends, holidays, and other unscheduled closures of MedPOINT Management.
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