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Baystate Health
Springfield
**Summary:** The Referral Authorization Coordinator is responsible for providing a variety of support services that are essential to the efficient operation of the regional infusion centralized process for insurance verification and authorization. Demonstrates excellent communication, interpersonal communication, critical thinking, and problem solv
Job Source: Baystate HealthNew North Citizens Council Inc
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Job Source: New North Citizens Council IncBeWell Care at Home
Windsor, CT, United States
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Windsor
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Job Source: BeWell Care at HomeBehavioral Health Network
Springfield, MA, United States
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Job Source: Behavioral Health NetworkHearingLife
Wilbraham, MA, United States
Patient Care Coordinator Job Locations US-MA-Wilbraham Job System ID 2024-21243 # of Openings 1 Overview Who WE Are: HearingLifeis a national hearing care company and part of the Demant Group, a global leader in hearing healthcare builton a heritage of care, health and innovation since 1904.HearingLifeoperates more than 600 hearing care ce
Job Source: HearingLifeCenter for Human Development
Northampton, MA, United States
Providing evidence-based care coordination and management, ICP care coordinators ensure that more people in our communities can benefit from all exceptional health services. Job Expectations: Collaborates with the Enrollee’s care team (registered nurse, PCP, PCA, medical director, behavioral health specialists, ACO’s, DMH, CBHI, CBHC, medical sup
Job Source: Center for Human DevelopmentHearingLife
Hatfield, MA, United States
Patient Care Coordinator Job Locations US-MA-Hatfield Job System ID 2024-21252 # of Openings 1 Overview Who WE Are: HearingLifeis a national hearing care company and part of the Demant Group, a global leader in hearing healthcare builton a heritage of care, health and innovation since 1904.HearingLifeoperates more than 600 hearing care cen
Job Source: HearingLifeSpringfield, MA, United States
Summary:
The Patient Care Coordinator will provide support for delivering quality health care services to a diverse patient population. The position will serve as the portal to the specialty practice and be responsible for appropriate patient appointment making, record request and review, and maintaining relevant family history.
They will coordinate the visit (appropriate provider, location, scheduling, referral in place) and answer patient questions, set expectations, and address concerns.
Using culturally and linguistically appropriate methods, the Patient Care Coordinator will work as a member of the health care team and interface and engage with all stakeholders, including providers, other staff, payors, patients, and patient families, as appropriate. The Patient Care Coordinator provides the link between patients and providers to maximize the patient experience, increase effective communication between providers, referring providers, patients and families, and increase the timeliness and efficiency of service delivery.
The Patient Care Coordinator will understand and interface with clinical, research, and quality databases.
Required Experience:
1) Assist patients and families in accessing and navigating medical care while understanding testing and treatment and partnering with the health care team, using culturally and linguistically appropriate methods.
Ensure implementation of well-coordinated care plans for a continuum of care through collaboration with clinical teams.
2) Explain processes and responsibilities to families concerning their clinical care. Assist patients and families with completing medical, financial, or other forms. Ensure timely access by triaging referrals with accurate data collection.
3) Documentation Responsibilities: Keeps process logs of patients reviewed, the dispensation of initial referral, provider scheduled, and nature of follow-up needed to serve the best patient. Maintain and update documentation of contact with the patient. Collect, enter, and compile data for program integration, reporting, and program evaluation—document services in medical records.
4) Maintain current knowledge of the specialty practice area.
5) Able to work independently while recognizing the importance of communicating with the clinical team and supporting team goals.
6) Maintain and submit complete and accurate records, datasheets, confidential forms, and consent forms.
7) Ensure all mechanisms are in place to guarantee and optimize available reimbursement, including referrals, prior authorizations, and "compassionate care programs" before service. Act as a liaison with insurance payors.
8) Participate in the development of culturally and linguistically appropriate educational materials.
9) Participate as an active member of the clinical team to evaluate, measure, and implement care plans, protocols and to define roles to meet the goals of the specialty practice.
10) Coordinate patient care using a patient-centered approach.
Minimally Required Experience
2-5 years in a medical setting. Ability to work in a multi-cultural, diverse, decentralized environment as a health care team member.
Comfortable working with multi-cultural, low-income families with complex medical issues.
You Belong At Baystate
At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.
DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS.
Education:
High School Diploma (Required)
Certifications:
Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
Ab out Baystate Health
Baystate Health (BH) is one of New England’s leading and largest integrated health care organizations, serving a population of nearly one million people throughout western New England. With roots dating back to the founding of Springfield City Hospital in 1873, Baystate Health has been providing high-quality and compassionate health care in western Massachusetts for more than 145 years. With more than 12,000 employees, a medical staff of nearly 3,100 physicians, and a net patient service revenue of more than $1.4 billion, the ever-growing health system includes five Massachusetts hospitals and the Baystate Mary Lane Outpatient Center in Ware:
Baystate Medical Center in Springfield
Baystate Children’s Hospital (located at Baystate Medical Center)
Baystate Franklin Medical Center in Greenfield
Baystate Wing Hospital in Palmer
Baystate Noble Hospital in Westfield
BCSC Care Coordinator jobs in Springfield, MA, United States
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