Core Competencies:

  • Ethics. Works with integrity; Upholds organizational values.
  • Dependability. Follows instructions, responds to management direction; results oriented and committed to achieving objectives and tasks as required.
  • Teamwork and Collaboration. Exhibits objectivity and openness to others views; Gives and welcomes feedback; Contributes to building a positive culture. Communicates effectively.
  • Professionalism. approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration; Accountable of all actions and decisions.
  • Organizational Support. Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization’s goals and values.
  • Quality Management. Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
  • Decision Making. Analyzes each situation, looking for opportunities to make any situation more beneficial for the company. Participates effectively in communication to achieve optimum results.

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