Managed Care Coordinator - SouthPark Sleep Medicine

Primary Job Responsibilities/Tasks may include, but not limited to:The duties and responsibilities of this position include assisting patients and providers with coordinating of referrals, obtaining authorization and scheduling. This position is also responsible for understanding benefits coverage and ensures the patient’s care is coordinated.(This is a full-time position supporting our Sleep Medicine team at SouthPark, Monday to Friday 8 am to 5 pm)Responsibilities:Completes referrals for patients and coordinates with referring and receiving practices, departments and outside facilities. Obtains prior authorizations for sleep studiesReviews benefits and educates patient on insurance coverageEducates patients on step-by-step Watchpat guidance, making sure device is used properly. Schedules appointments for Watchpat pickup. Follows up on all referrals to ensure no care gapsEnsures sleep billing encounter is placedHandle sensitive information in a confidential mannerOther duties as assignedRequirements:Education, Experience and Certifications:High School Diploma or GED requiredThorough understanding of insurance coverage and Medical Necessity policies preferred. Customer service experience requiredKnowledge of medical records software preferredCompletion of Hepatitis B Vaccine and Flu Vaccine Form will be required. Candidate may decline vaccination through declination form or may provide record of vaccination from previous employerCompletion of TB test will be requiredPhysical Requirements:Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pullingMust be able to lift and support weight of 35 poundsAbility to concentrate on detailsUse of computer for long periods of time