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About Us Lumen Solutions Group Inc., a dynamic small and minority-owned, Disadvantaged Business Enterprise headquartered in Florida, USA. As a leading consulting services and solutions provider, we focus on IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, Enterprise Transformation for our clients. Our client base includes Fortune 500, Government, non-profit and emerging growth companies.
Job Description: PURPOSE:
Provide direct support to ensure that patients move through the system and receive the treatment and services they require. Incumbent will work to bring all aspect’s of a patient’s care together including follow-up appointments, record management as well as care management.
Essential Functions
20% Establish and promote collaborative working relationships with Care Managers, Social Workers and Nurses.
20% Assists in referral process by transmitting required patient documentation and verifies that facility received documentation.
15% Prepare, complete and distribute information packets. Initiate process to follow-up for any information missing.
15% Facilitate effective exchange of information with facility liaisons, home care liaisons and suppliers.
15% Assist in obtaining authorizations for transition to next level of care
15% Provide clerical and support functions to Care Management staff members.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions. Candidate must reside in Maryland.
Education Level: High School Diploma
Experience: 3 years related administrative and/or health insurance experience.
Preferred Qualifications
Knowledge, Skills and Abilities (KSAs)
The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
Lumen Solutions Group Inc. is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.
