Palliative Care Operations Specialist:
Qualification and Education Requirements :

• Degree in health care or related field preferred

• Current Driver's License & Reliable Transportation

• Must provide ongoing valid and current auto liability insurance

• At least three (3) to five (5) years of experience in health care, preferably in hospice operations

• Knowledge of corporate business management, governmental regulations and private payer practices

• Experience with EMR software is a plus

Essential Duties:

• Coordinates referral information, receives required information from referral sources, enters information into EMR, and collaborates with clinical team in a timely manner.

• Interacts with other staff to ensure all patients advance through the registration process and are scheduled to be seen in a timely manner.

• Verifies insurance benefits and pre-authorization as required by specific insurance plans.

• Receives inbound calls and places outbound calls to patients.

• Develops and maintains effective working relationships with Physicians, Case Managers, Managed Care Organizations, and other pertinent payer/referral sources.

• Maintains and always protects the confidentiality of patient information, enforces patient rights regarding privacy, personal property, and grievances.

• Update and monitor patient statuses based on provider feedback.

• Communicates timely and accurately with referral sources and other departments to ensure coordinated and comprehensive care.

• Ensures all documents are received from third parties and internal documents are completed to process referral and admissions.

• Provides effective communication with patient/family, team members, and other healthcare professionals to educate on insurance benefits.

• Complies with Medicare, Medicaid, and HIPAA regulations and requirements always.

• Performs other duties as required.

Working with InHome Connect :
We are dedicated to providing compassionate care to seriously ill patients while using innovative technology and program outcomes focused specifically on the needs of patients living at home with a serious illness.
It is this Agency's policy to provide equal employment opportunities without regard to age, race, color, religion, military status, gender preference, sex, marital status, national origin or disability.