Amy Hayden Email and Phone Number

Primary liaison between Integrated Care Partners and its physician members.Scheduling and conducting quarterly physician practice visits to develop and maintain strong and positive relationships and trust.Outreach to physician practices assisting service needs, providing education on host of subject matters such as processes and procedures, organizational initiatives, payer updates, etcAct as liaison between payers and physician members to identify, research and resolve provider issues such as payments, authorizations, claim denials, eligibility and member matters.Help to coordinate social and educational events to promote physician engagement.Develop training education and communication materials for providers and office staff.Collaborate with administrative and system staff with recruitment strategies of provider members.

Educate physicians and staff on key HEDIS metrics, perform chart audits and analyze to provide feedback.Identify barriers and process improvement opportunities to close gaps in care while ensuring delivery of quality patient care.Be source to answer questions on clinical outcomes and initiatives and understanding of performance scorecards.Submit supplemental data to payers for gap in care closure while achieving better patient care and increasing incentive dollars to both physicians and network.Ongoing collaboration with providers, clinical staff, payers, team members and management.

Scheduling of patient visits for all clinicians assigned.Obtain daily reports for home care orders, missed visits and frequency verification to achieve better patient care.Contact with MD and referral sources to obtain necessary information to process referral to home care.Tracking of physician orders, authorizations, communications.Liaison between sales force and office staff and clinicians.Processing of all clinician timecards and payroll, correcting any discrepancies.

Responsible for receiving and reviewing referrals for short term rehabilitation and long term care.Provide assistance to Central Admissions Director acquiring necessary information and documentation to allow prompt review for prospective admissions.Performed verification of insurance and obtaining benefit coverage for all referrals received in timely matter.Manage multiple phone and referral lines.Act as liaison with case managers/discharge planners.Maintain professional confidentiality.

Responsible for incoming calls to busy call center to initiate short term disability claim.Worked claim from start to finish staying in constant touch with claimant and employer to provide updates and obtain requested documents.Received medical documentation on weekly basis from physicians while maintaining patient confidentiality at all times. Summarized medical documents received and entered into claims database.Processed payroll weekly to ensure accuracy of payments for all claimants. Main contact for claimant for any questions or concerns during life of claim.Participated in weekly team meetings to discuss and address any issues.