Job description

• Assist in scheduling and re-scheduling patient appointments to primary care and specialists when requested by care team.
• Book exam rooms at Commonwealth Community Care (CCC) when requested by care team.
• Procuring orders and referral requests to agencies and vendors for DME/Medical Supplies and Home Health Aid as requested by care team.
• Follow up on orders and referrals by submitting documentation when needed to support the request for services.
• Triage and transcribe patient calls from Member Services and Clinical Review Unit (CRU) and route documented message to appropriate care team member in EPIC.
• Print, scan and fax referrals or documents in need of care team signature for service requests.
• Create shadow charts in eCW system.
• Mail welcome packets to new enrolled patients.
• Update Excel spreadsheet with new patient information.
• Weekly communication with Health Information Management (HIM) to provide new enrolled patient demographics.
• Support team in tracking Key Performance Indicators (KPI) on Excel spreadsheet and send communication around metrics.
• Support management with performing eligible patient chart reviews and patient utilization reviews.
• Research and provide care team with benefit information regarding Masshealth covered services.
• Attends weekly team meetings and supports by booking rooms.
• Fax prescription orders to pharmacies at request of clinician.
• Submit requests for transportation (PT1) via Masshealth Customer Web Portal.
• Schedule Masshealth transportation rides with MART and Cab Rides as needed.
• Submit Medminder referrals when requested by clinicians.
• Attends/facilitates biweekly eligibility meeting to discuss and provide updates on ACO unaligned patients on behalf of team members.
• Other related duties maybe assigned
• Associates degree required, Bachelor's Degree preferred
• 3 -5 years of administrative experience in a medical or healthcare related setting
• Experience working in a multi-cultural setting
• Excellent written and verbal communication skills
• Working knowledge of Microsoft Office applications (Excel proficiency basic-intermediate)
• Excellent organizational skills
• Knowledge of some medical terminology preferred
• Ability to prioritize workload and to multi-task effectively
• Ability to problem solve with minimal supervision
• Enthusiasm and commitment to teamwork
• English required, bilingual preferred

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