Job Description

:

Referral Management:

- Monitor and maintain the Excel file containing referral information for home health and hospice patients.

Patient Chart Creation:

- Create and update patient charts in MatrixCare promptly and accurately.

Case Manager Follow-Up:

- Contact case managers to obtain discharge dates missing from referrals or orders.

Eligibility Verification:

- Check patient eligibility for home health and hospice services via insurance portals.

- Ensure that insurance coverage is in-network with the service provider and verify that the patient's address is in Connecticut.If the address is not in Connecticut, consult with the patient regarding the possibility of changing it with their insurance provider and inform them of the 24-48 hour processing time.

Insurance Communication:

- Communicate any out-of-pocket costs to patients if their insurance meets eligibility criteria.

- Print and attach insurance eligibility and benefits documentation in the patient's chart in the MatrixCare.

Physician Coordination:

- Call the primary care physician listed in the referral/order.

- If the physician declines to sign home health orders, inquire whether the patient has another physician who can authorize the orders.

- For cancer patients, confirm if the oncologist is willing to sign all necessary documents for the entire episode of care.

Welcome Call Duties:

- Confirm the patient's address and phone number for scheduling the SOC (Start of Care) visit.

- Verify if the patient can sign documents independently.

- Assess the patient's homebound status; if the patient is not homebound and has commercial or Medicare insurance, inform them that intake can only proceed if they have Medicaid coverage.

- For patients who can drive and perform daily activities, confirm that they do not meet homebound criteria and advise them to contact the private duty nursing department.

- If the patient cannot be accepted, notify the sales representative and the referral source.

- Document all information in MatrixCare after the welcome call.

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹30,000.00 per month

Benefits:

Food provided Health insurance Provident Fund
Work Location: In person