Directs physician and patient communication regarding non-coverage of benefits
Maintains positive, open communication with the physicians, nurses, multidisciplinary team members and administration
Educates hospital and medical staff regarding utilization review program.
Maintains a calm, rational, professional demeanor when dealing with others, even in situations involving conflict or crisis
Voicemail, Skype, and email will be utilized and answered in timely fashion. Hospital provided communication devices will be used during work hours.
Staff is expected to respond and/or acknowledge communication from the FCC via approved communication guidelines and standardized service-line agreements
Staff must be available as designated for meetings or training, onsite or online, unless prior arrangements are made
This is a remote role which requires access to high speed internet
Excellent interpersonal, communication and negotiation skills in interactions with physicians, payors, and health care team colleagues
Commitment to exceptional customer service at all times
Communicate ideas and thoughts effectively verbally and in writing
Strong clinical assessment, organization and problem-solving skills
Ability to assess and identify appropriate resources, internal and community, on assigned caseload, and to work collaboratively with health care team, providers, and payors to achieve the desired patient, quality, and financial outcomes
Ability to prioritize, organize information, and complete multiple tasks effectively in a fast-paced environment
Resourceful and able to work independently
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require
