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Director Patient Transitions - ValdostaGA or GainesvilleFL

Company: Barnes Healthcare Services
Location: Valdosta
Posted on: September 12, 2020

Job Description:

Director Patient Transitions - ValdostaGA or GainesvilleFL

Level Management

Job Location Valdosta - Valdosta, GA

Position Type Undisclosed

4 Year Degree

Salary Range Undisclosed

Travel Percentage Undisclosed

Job Shift Day

Job Category Health Care

Description

POSITION TITLE:  Director, Patient Transitions

REPORTS TO: AVP, Strategic Partnerships

SUMMARY

The Director, Patient Transitions has the primary responsibility of leading the Transitional Care Coordinators and Customer Care Coordinators to provide an efficient and effective referral workflow for all Barnes Healthcare programs including respiratory; home medical equipment; infusion; Healthy@Home contracts or other contracts. The Director is responsible for leading the team to deliver legendary customer service via written and verbal communication. As the champion of the referral workflow for all locations, this leader will be monitoring and auditing CPR+ referral entry; documentation collection for qualification; satisfying financial expectations; building relationships with the operations and sales team to provide a successful transition of care. The Director ensures all patient orders are received, qualified, and processed in accordance with a workflow that is timely, efficient, accurate, and courteous manner to ensure the highest level of customer In addition, the director will be responsible for monitoring all communication.

PRIMARY RESPONSIBILITIES -   Manage the Patient Transitions Team to provide a seamless referral workflow for our patients and referral sources Ensure that all team members are providing effective and positive interactions with customers (written & verbal correspondence)

Audit workflow timeframes and interpret data with weekly & monthly reports to appropriate leadership

Always maintain proper confidentiality. Adhere to all state and federally mandated documentation standards

Produce legendary customer service through workflows and behaviors within the team

Assure to maintain telephone etiquette using a standardized greeting identified by the organization

Lead the team to collaborate and engage with internal and external customers including CTL’s, TM’s Operations Team Members, Nursing and Finance to support the accurate collection of clinical documentation to support the operation

Assess the needs of the customer/referral source and act accordingly.

Audit referral entry as described by company policies and procedures to include all appropriate documentation and complete demographics

Strong understanding for insurance verification and payer requirements

Conducts on-boarding activities within the team for new employees and on-going education for existing employees

Audit and verify insurance benefits; evaluate patient/customer’s need, vendor pricing, private pay issues and/or third-party reimbursement possibilities.

Resolve customer/referral concerns and complaints by identifying problems and coordinating appropriate corrective action.

Accurately and clearly instruct referral source and/or sales team (CTL/TCC/TM) on insurance qualification guidelines for orders received.

Communicate within our organization and with referral sources and other organizations to provide continuity of care and additional services/products.

Report on daily processing for ongoing receipt of referrals.

Understand goals set for team and execute.

Under the direction of the AVP, Strategic Partnerships plan and prioritize activities to achieve results

Hold team accountable for all expectations

Serve as an expert on qualifications for required products/services according to payor guidelines and requirements. Be able to communicate guidelines effectively and with excellent customer service skills.

Provide motivational atmosphere for team and lead by example

Assist in training inexperienced team to be excellent contributors

Communicate effectively with locations and departments to ensure the highest level of customer service and satisfaction.

Manage and lead two teams in Gainesville and Valdosta

Qualifications QUALIFICATIONS Bachelors Degree or healthcare related degree; call center experience a plus

Two years plus; supervisory experience

Healthcare experience; preferred experience with post acute care services and/or call center

Analytical skills to include excel; power point; etc.

Focus on positive customer relations skills & revenue cycle understanding

Ability to multitask

We will conduct a full background check including criminal history, work history, education history; a complete motor vehicle report as applicable for the past 10 years; a chemical report, including drugs, alcohol and nicotine. We are a NON-NICOTINE Organization.

Health Insurance, Dental Insurance, Vision Insurance, TeleDoc services, 401K Retirement with Match, Short Term Disability, Long Term Disability, Life Insurance, Fifteen Days of Vacation yearly (accruing upon your start date), Six paid Company Holidays, Forty hours of paid Community Service yearly, Four Company Events per year, Continued education and training to develop our employees, as well as our Team(s). – Benefits only apply to FULL TIME EMPLOYEES.

Barnes is an Equal Opportunity Employer

Barnes Healthcare Services – We take care of people - Since 1909

Keywords: Barnes Healthcare Services, Valdosta , Director Patient Transitions - ValdostaGA or GainesvilleFL, Other , Valdosta, Georgia

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