Receive and process referrals for hospice care from the Guiding Light Hospice marketing team members, healthcare providers, families, and other sources.
Verifies insurance eligibility and coverage including obtaining initial authorizations for services and seeks reauthorization for ongoing or additional services.
Coordinate with healthcare professionals, including physicians, nurses, and social workers, to gather necessary demographic and medical information and other documentation.
Communicate effectively with patients and their families to explain the hospice program, services offered, and expectations for care.
Works with members of the billing team to ensure that managed care customers are billed according to managed care organization agreements.
Establishes and maintains positive working relationships with current and potential managed care customers.
Promptly responds to managed care customer’s requests and concerns.
Assists in building community, customer, payer and patient perceptions of Guiding Light Hospice as a high-quality provider of services.
Coordinate scheduling of admissions and ensure timely transitions to hospice care.
When applicable, coordinate scheduling of hospice nurse practitioners for completion of initial face to face visits.
Collaborate with insurance companies to verify coverage and obtain authorizations for hospice services.
Maintain accurate and confidential patient records, ensuring compliance with regulatory standards and organizational policies.
Provide ongoing support and assistance to patients and families throughout the intake process, addressing questions, concerns, and emotional needs.
Requirements
Bachelor's degree in social work, nursing, healthcare administration, or related field (preferred)
Previous experience in hospice, healthcare coordination, or patient advocacy
Strong interpersonal skills and ability to communicate effectively with individuals from diverse backgrounds
Compassionate and empathetic approach to supporting patients and families during difficult times
Excellent organizational and time management skills, with the ability to prioritize tasks and manage multiple responsibilities simultaneously
Knowledge of medical terminology, healthcare regulations, and insurance procedures
Proficiency in computer applications, including electronic medical records systems and Microsoft Office Suite
Ability to maintain confidentiality and adhere to ethical standards in handling sensitive information
Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities