Care Coordination Specialist

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.   

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible

Full-Time Benefit Eligible

Work Shift

Variable - 8 Hour or less Shift (United States of America)

Department

8590 Precert/Benefits Verification

Ensures that all hospitalizations are communicated to the appropriate payer source in a timely manner.

QUALIFICATIONS

Education
Preferred: High School diploma or equivalent


Experience
Preferred: Previous experience with health insurance guidelines.

Knowledge/Skills/Abilities
Ability to multi-task.

JOB RESPONSIBILITIES
Essential

Works with Case Managers on various floors and campuses to communicate about patient cases and changes to level of care.

Knowledgeable on various insurance payers’ rules and guidelines including Medicare and Medi-Cal.

Notifies appropriate payer source in a timely manner of patient’s stay. Communicates any issues with Supervisor.

Identifies trends or issues with registration quality and communicates with appropriate members of Leadership.

Able to multi-task and work on numerous accounts if on hold for a long duration of time with insurance companies.

Tracks and trends payer issues. Attends payer meetings if scheduled and communicates issues.

Identifies patients who are uninsured or underinsured. Works with Financial Counselors whenever applicable.

Collaborates as a team to ensure all items are worked on in a timely manner. Understands that all incomplete tasks can result in a negative financial impact to the Kaweah Health.



Additional

Quality checks and scans own work into EDM.

Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.

Performs other duties as assigned.

Pay Range

$22.48 -$33.72

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.