Transitional Care Coordinator (HME) at Barnes Healthcare Services in Valdosta, Georgia

Job Description:

POSITION TITLE: Transitional Care Coordinator

• Ensure positive interactions with internal/external customers (written & verbal)


• Always maintain proper confidentiality. Adhere to all state and federally mandated documentation standards


• Maintain proper telephone etiquette using a standardized greeting that identifies the organization


• Collaborate with sales team members (CTL/TM) for appropriate clinical documentation to assure a smooth transition of care, as needed


• Assess the needs of the customer/referral source and act accordingly


• Accurate referral entry as described by company policies and procedures to include all appropriate documentation to bill for services


• Evaluation and determination of eligibility based on specific payer guidelines. 


• Verify insurance benefits; evaluate patient/customer’s need, vendor pricing, private pay issues, and/or third-party reimbursement possibilities. 


• Assist referral sources and patients with the selection of appropriate equipment, supplies, and services


• Process and key delivery ticket to accurately reflect the equipment/supplies provided.


• Resolve customer/referral concerns and complaints by identifying problems and coordinating appropriate corrective action.


• Accurately and clearly instruct referral source and/or sales team (CTL, TM) on insurance qualification guidelines for orders received.


• Communicate within our organization to provide continuity of care


• Understand and execute goals set for the team   


• Under the direction of the Director, the Patient-Centered Care Team plan and prioritize activities to achieve results 


• Serve as an expert on qualifications for required products/services according to payor guidelines and requirements. Be able to communicate guidelines effectively and with excellent customer service skills.   


• Provide a motivational atmosphere for the team and lead by example 


• Assist in training inexperienced team to be excellent contributors 


• Communicate effectively with locations and departments to ensure the highest level of customer service and satisfaction. 


• TCC is responsible for referrals during the organization’s weekday hours as assigned in each TCC Team Room (Valdosta, Gainesville)


• TCC is on a scheduled rotation for weekday after-hours rotation and weekend coverage rotation which is done remotely.

QUALIFICATIONS

• High School diploma or equivalent required
  


• Excellent phone and customer relations skills
  


• Two years plus; healthcare experience and knowledge of medical terminology.
  


• Previous experience with a medical billing system a plus


• Exceptional keyboarding skills
  


• Ability to multitask
  

Benefits:

Health Insurance, Dental Insurance, Vision Insurance, TeleDoc services, 401K Retirement with Match, Short Term Disability, Long Term Disability, Life Insurance, Employee Assistance Program, Fifteen Days of Vacation yearly (accruing upon your start date), 2 floating holidays, Six paid Company Holidays, Forty hours of paid Community Service yearly, Annual Organizational Performance bonus, Four Company Events per year (Pending COVID Restrictions).

Barnes is an Equal Opportunity Employer