Transfer Inpatient Coordinator

Regal Medical Group•Los Angeles, CA

1d•$25

About The Position

The After Hours Transfer Coordinator supports the process that manages the Afterhours Call Department. The goal for this position is to effectively support the Afterhours Call Services management process by assuring the right information is provided timely to the team. This includes ensuring that all necessary clerical functions are completed accurately and timely. Assist in facilitating referrals, transfers and authorizations. Relates and communicates well over the telephone to all callers.

Requirements

High school diploma or general education degree (GED);
1 year related experience preferred
Good judgment and critical-thinking skill
Compassionate and caring manner with patients
Telephone “charisma”
Forms instant rapport
Customer service–oriented
Helpful, warm, open, and inviting
Excellent communication skills (written, verbal, and technical)
Articulate
Able to communicate well at fifth- to eighth-grade level
Concise, clear documentation skills
Excellent listening skills
Proven typing skills at 40 words per minute with accuracy
Knowledge of computers, faxes, printers and all other equipment
Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point)
Functions well in a high-stress environment and under time pressure
Works effectively with: Culturally diverse populations Educationally diverse and illiterate populations Non-English-speaking populations

Nice To Haves

Bilingual language skills a plus

Responsibilities

Receives and responds to telephone calls from members and providers.
Verify eligibility and benefits and communicate to the nurse.
Generates authorizations for hospitals, vendors and/or outside services as directed.
Receives and responds to telephone calls from hospitals, vendors and physicians requesting facilitation of requested services.
Directs caller to appropriate Triage nurse.
Documents all calls according to established standards.
Translates oral information into concise and accurate written documentation.
Demonstrates customer service-oriented behavior at all times.
Expedites emergency calls as needed.
Accesses Language Line for non-English speaking patients as needed
Participates in regular staff meetings as scheduled.
Uses, protects, and discloses patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
Ensures all approved authorizations are entered accurately into the system.
Maintain accurate and timely records in REA. Scan physician progress notes, reports, and records and attach documents to appropriate authorizations.
Update and close cases in a timely manner.
Communicate immediately any admissions to non-contracted or non-core facilities.
Distribute face sheet immediately upon receipt and eligibility check to the appropriate nurse.
Check all new admissions for Out of Area status.
Review case statuses to ensure proper documentation and case closure. Work with assigned nurse to complete all documentation.
Communicate with supervisor regarding any potential issues.
Prepares appropriate denial letter at the direction of the Nurse
Maintains confidentiality of all patients and medical/clinical information.
Identify network needs and report to management for potential contracting opportunities.
Monitor incoming fax server and flag each fax appropriately to ensure proper routing.
Acts as a mentor as requested by supervisor.
All other duties as directed by management.