The Clinical facilitator ensures that Chronic Care Management (CCM), Remote Patient Monitoring (RPM) & Annual Wellness Visit services implemented by the company fully complies with the Medicare standards by ensuring eligibility through a robust assessment.
Clinical Facilitators compliments the activities carried out by the Clinical Managers by providing relevant information as and when required.
Job Responsibilities:
- Verify all demographic and insurance information in patient registration of the Software at the time of Data entry.
- He/She would be responsible for handling and transferring patient information (Demographics, Insurance, and Diseases), Verify insurance coverage as per eligibility criteria for new patients, as well as update information for existing patients, and also ensures that the payments for medical services are received in a timely manner.
- Responsible for data entry on multiple 2C-Health solutions approved platforms and maintaining patient confidentiality.
- Work alongside Care Managers and regularly update regarding insurances of new eligible patients/existing patients, while handling clinical backend work.
- Follow protocols as shared by the team leads and care managers, alongside timely documentation and uploading of patient files on relevant platforms.
- Effectively use Insurance websites, search engines, to verify the insurance plans through web portals (Availity, nextgen) for Policy status.
- Responsible for working on different electronic health records (EHR/EMR) software especially "e-clinical works" and "Practice fusion”.
- Must adhere to all HITECH and HIPPA rules and regulations.
Skills:
- Strong Medical knowledge
- Good command on Ms. Excel
- Fluent in English
- Flexible in working at any shift (when required)
- Good Internet connection
Qualification:
Graduate preferably in medical & allied or social sciences.
Experience:
Minimum 1 years' of experience of working in U.S Medical Billing
Job Type: Full-time
