Job Title Program Coordinator - Advanced Illness Care Department HCP Advanced Illness Exemption Status Non-Exempt Requisition # 24323 Direct Reports n/a Manager Title Director - Advanced Illness Care Pay & Benefits Estimated hiring range $ 24.54 - $29.70 / hour, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This a0.2FTE hybrid role with 1-2 days per week or month in the Community or Office. Job Summary This position is the primary point of contact for the Advanced Illness Care Program (AIC) with responsibility of receiving and processing new patient referrals, as well as technical and data management. This position works with our referral sources (patients, family, case managers, facilities, clinics, etc.) and manager to screen and triage potential new patients and assign new and established patients to clinicians. This position is also responsible for program data tracking in Electronic Health Record (EHR) and reporting for payers and organizational leadership. This position provides billing support and review of unpaid claims. This position additionally provides administrative support to the department. Essential Responsibilities Intake Support Administers all aspects of the patient intake process by receiving and processing all incoming referrals. Collaborates with clinicians and/or supervisor to gather necessary information to determine appropriateness for services. Communicates with referral sources if patient is not accepted for services and provides information about alternative community programs and resources. Receives all incoming calls regarding program and provides instructions on referral process to AIC, hospice and primary care programs. Serves as the initial contact for patients, provides support and transfers to appropriate team member, as needed. Provides weekly updates/reporting to Collective Platform. Completes patient chart set up in EHR and requests and adds records needed to process referral. Ensures accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards according to policies and procedures. Updates EHR database, including entry of new physicians, organizations, billing and service codes, as needed. Billing and Clinical Support Provides support to billing team to ensure payment of claims and prepare monthly billing charts. Establishes and maintains provider portals and performs initial insurance verification with subsequent monthly eligibility checks maintaining all records, which may include, knowledge of program eligibility requirements for multiple payers. Enters and reviews documentation in the electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards according to policies and procedures. Provides first point of support for EHR and Collective Platform. Quality Improvement Support Generates reports for leadership. Disseminates information to the clinical team about significant updates. Monitors and reports transition in care support. Monitors and maintains knowledge of quality and compliance requirements. Performs data collection, synthesizing and reporting required for payers and other programs. Contributes to workflows to improve team understanding, partnership and engagement with quality measures. Learns and assists in reviewing data and identifying trends. Prepares for and participates in payer quality audits. Tracks Medicaid redetermination dates and monitors patients for Medicare age-in dates and provides notifications to team. Responsible for smooth transition of patients into other Housecall