Patient Care Specialist III

Location: 15201 N. Cleveland Ave. Ft. Myers, FL

Key Responsibilities

• Appointment Management: Coordinate, schedule, and confirm new and existing patient appointments using systems like Athena and Carelink; place reminder calls to patients.

• Patient and care coordination

• Liaison/Communication: Act as the primary liaison, communicating regularly with patients, family members, and various providers and care teams (including specialists, PCPs, home health, and hospice agencies).

• Case Management & Referrals:

• Coordinate and schedule post-discharge visits for patients returning home from the hospital or skilled nursing facilities (SNF).

• Monitor and manage the coordination of new patient referrals, specifically for house calls.

• Process and track specialized referrals (e.g., specialists, home health, hospice, psychiatry), including faxing orders/referral packets and progress notes, and following up to confirm acceptance and scheduling.

• Program Enrollment: Enroll eligible patients in Advanced Primary Care Management (APCM), creating the necessary profiles and uploading consent forms; accurately document time spent on APCM tasks (e.g., home health orders, prescription management, phone calls).

• GUIDE Program Management: Track referrals, discuss program details with patients, and set up in-person or telehealth visits, including confirming insurance and location details.

• NP/Provider Support: Screen and return phone calls to family members on behalf of the Nurse Practitioner (NP).

Administrative and Documentation

• Patient Registration & Data Entry: Perform patient registration, creating profiles in Athena, and accurately adding/verifying patient demographics, new patient insurance, and billing information. Upload admission packets as needed.

• Census Management: Maintain and track provider census data, monitoring patient appointment cadence, referral status, and ensuring accurate provider and regional assignments in Athena and other tracking systems.

• Insurance Verification & Authorization:

• Verify patient insurance benefits.