Patient Care Coordinator

Randstad
Lexington, MA Full Time
POSTED ON 5/17/2024 CLOSED ON 5/30/2024

What are the responsibilities and job description for the Patient Care Coordinator position at Randstad?

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job summary : Responsibilities :

Responsibilities :

Maintain all Faxes that come through the RDCF Fax

o Review all incoming faxes and attach fax and notes into patient’s case, move task through to next stage of case review and schedule accordingly

Entering all new referrals into the Service Cloud

o Referral received ? attach to case ? notate insurance status ? move task through to welcome call

o QC referral for accurate documentation (signatures, forms, Denials, name, etc)

o Some interaction with OP PSM teams (follow-up if necessary for missing documentation)

  • Send Applications to Patient / HCP for review (fax)
  • Create / Send / attached approval / denial packets to patients after determination from RDCF
  • Work with FCM / PAP manager to ensure patient / family maintain proper access to therapy
  • Send monthly AE report to Cognizant

o Monthly reporting needs to be sent to Cognizant team for prior month

o Provide a summary of the AE report on the shared drive.

Send the required form for reviewUnderstanding of Referral Requirements for All RDCF Products

Skills : coordination of referrals, Documentation, maintenance of faxes, Review of documents, organizing case reviews, Patient Care Coordination, Customer Service, Customer support, Organization Experience : Entry Level2 year(s)

responsibilities :

Maintain all Faxes that come through the RDCF Fax

o Review all incoming faxes and attach fax and notes into patient’s case, move task through to next stage of case review and schedule accordingly

Entering all new referrals into the Service Cloud

o Referral received ? attach to case ? notate insurance status ? move task through to welcome call

o QC referral for accurate documentation (signatures, forms, Denials, name, etc)

o Some interaction with OP PSM teams (follow-up if necessary for missing documentation)

  • Send Applications to Patient / HCP for review (fax)
  • Create / Send / attached approval / denial packets to patients after determination from RDCF
  • Work with FCM / PAP manager to ensure patient / family maintain proper access to therapy
  • Send monthly AE report to Cognizant

o Monthly reporting needs to be sent to Cognizant team for prior month

o Provide a summary of the AE report on the shared drive.

Send the required form for reviewUnderstanding of Referral Requirements for All RDCF Products

The essential functions of this role include :

working in a smoke free environment

qualifications : Experience

Experience

  • Entry Level
  • 2 years

Education

Associates

skills :

  • coordination of referrals
  • Documentation
  • maintenance of faxes
  • Review of documents
  • organizing case reviews
  • Patient Care Coordination
  • Customer Service
  • Customer support
  • Organization
  • 1 day ago
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