Responsibilities:
- Screens patients for Medicare and insurance eligibility to receive RPM, CCM, RTM & PCM services. Communicates weekly patient enrollment schedule.
- Welcomes patients to the RPM program
- Educates patients on how to use the monitoring device
- Sets up monitoring devices in the remote monitoring system.
- Tracks delivery of devices from manufacturer to the patient’s home.
- Supports device delivery
- Reviews and ensures completion of clinical minutes and notes each month
- Stores and transmits patient consent forms and adds consented patients to the
software platform. - Complies with all HIPAA guidelines and maintains the confidentiality of clients and patients
- Complies with Federal and respective state laws regulating health management organizations and telephone information centers and all department standards, policies, procedures, and licenses/certifications.
- Performs duties ONLY within the scope of practice approved by the state in which the patient is located. Provides utilization management and quality improvement in accordance with utilization policies and processes. Ensures adherence to the Quality Management Program.
- Performs other job-related duties as assigned
Qualifications:
- Understands instructions furnished in written, oral, diagram, or schedule form.
- Fluent in English & Spanish
- Ability to communicate effectively with US professionals of all backgrounds.
- Caring attitude, respectful, empathetic, tactful, collaborative, and patience.
- Demonstrated ability to offer suggestions proactively
- Open to recommendations for improvement
- The ability to solve practical problems and deal with a variety of concrete variables
in situations where only limited standardization exists. - Ability to interpret a variety of instructions furnished in written, oral, diagram, or
schedule form.
Requirements:
- 3+ years of experience in customer service in healthcare
- Experience with electronic medical records and healthcare monitoring devices
- Possesses planning, organizing, conflict resolution, negotiating, and interpersonal
skills. - Strong interpersonal, communication, and teamwork skills
- Proficient with Microsoft Office programs including Word, Excel, and ability to learn
proprietary programs - Independent problem identification/resolution and decision-making skills
- A nursing or clinical degree
- Knowledge of legal and ethical issues related to patients’ rights and care delivery
