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Medicare Services Coordinator

2 months ago

Virginia Beach, Virginia, United States Livanta Full time
Overview

Livanta stands as the premier organization dedicated to enhancing healthcare quality across the United States, serving as a trusted partner to the Centers for Medicare and Medicaid Services (CMS). Our deep understanding of beneficiaries has led us to create programs that not only improve health outcomes but also elevate patient satisfaction and significantly lower readmission rates. Leveraging advanced technology, Livanta has developed a comprehensive suite of telehealth services, data analytics, and monitoring tools aimed at fostering a more interconnected healthcare system that benefits patients, providers, and payers alike.

We are currently looking for Patient Services Representatives who embody empathy, thoughtfulness, and responsiveness to join our dynamic team. In this role, you will manage and prioritize beneficiary inquiries, conduct case intakes, support the Medicare Helpline, clarify patient rights and responsibilities under the Medicare program, and communicate the activities and duties of the Quality Improvement Organization (QIO) to Medicare beneficiaries and healthcare professionals.

Key Responsibilities
  • Educate Medicare beneficiaries and relevant parties about their rights and responsibilities as patients.
  • Assist in the review process to ensure compliance with contractual timelines and accuracy as outlined in the QIO manual.
  • Serve as an impartial intermediary for beneficiaries and their families.
  • Communicate QIO activities and responsibilities to Medicare beneficiaries, healthcare providers, and other stakeholders.
  • Foster and maintain positive relationships with both internal and external clients.
  • Draft correspondence for physicians, healthcare facilities, and community organizations as necessary.
  • Ensure accurate and current contact information is maintained and manage mailing lists effectively.
  • Handle and organize medical records with precision.
  • Document all phone interactions, significant conversations, and correspondence with beneficiaries and providers using an electronic application.
  • Input data into software systems accurately and promptly.
  • Safeguard the confidentiality of beneficiary information in accordance with HIPAA and HITECH regulations.
Qualifications
  • High school diploma or equivalent (GED).
  • A minimum of two years of experience in customer service.
  • Exceptional oral and written communication skills.
  • Strong attention to detail.
  • Proficiency in database software applications (e.g., Microsoft Office).
  • Excellent interpersonal and problem-solving abilities.
  • Ability to exercise sound judgment in various situations.
  • Capacity to manage and coordinate multiple tasks simultaneously in a collaborative environment.
  • Skill in data collection and the ability to identify relevant information.
Ideal Candidate

This position is perfect for individuals eager to make a meaningful impact in the lives of vulnerable populations. Join our team and contribute to improving health outcomes for those we serve.