Managed Care Coordinator - SouthPark Sleep Medicine

Managed Care Coordinator - SouthPark Sleep Medicine

Primary Job Responsibilities/Tasks may include, but not limited to:

Responsibilities:

• Completes referrals for patients and coordinates with referring and receiving practices, departments and outside facilities. 
• Obtains prior authorizations for sleep studies.
• Reviews benefits and educates patient on insurance coverage.
• Educates patients on step-by-step Watchpat guidance, making sure device is used properly. 
• Schedules appointments for Watchpat pickup. 
• Follows up on all referrals to ensure no care gaps.
• Ensures sleep billing encounter is placed.
• Handle sensitive information in a confidential manner.
• Other duties as assigned.

Requirements:

Education, Experience and Certifications:

• High School Diploma or GED required.
• Thorough understanding of insurance coverage and Medical Necessity policies preferred. 
• Customer service experience required.
• Knowledge of medical records software preferred.
• Completion of Hepatitis B Vaccine and Flu Vaccine Form will be required.  Candidate may decline vaccination through declination form or may provide record of vaccination from previous employer.
• Completion of TB test will be required.

Physical Requirements:

• Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending,pushing, and pulling.
• Must be able to lift and support weight of 35 pounds
• Ability to concentrate on details.
• Use of computer for long periods of time.