Case Coordinator
Current• Gather case period claims from partner organizations and outside providers, organize claims into packet form and submit to contracted carriers with payment invoice.• Coordinates with follow-up reps regularly to monitor contracted carriers on invoiced payments.• Resolved payment disputes with contracted carriers.• Calculate case rate payment disbursements to partner organizations and outside providers.• Disburse payments to partner organizations and outside providers. • Answer case rate related questions and educate various departments at the SCCA, such as Patient Financial Services Representatives, Discharge Planners, Pharmacy and Utilization Review.• Educate outside providers and partner organizations of the case rate process. • Organize and provide case rate data as requested by SCCA management.• Coordinates communication with follow up rep to identify problem issues with contracted carriers and/or partner organization.• Verify accuracy of insurance payment • Route weekly and monthly case rate spreadsheets showing case rate activity to partner organizations and SCCA Patient Accounting Representatives.• Track claims received by partner organizations.• Reconcile accounts that case rate money is deposited into and withdrawn from. • Prepares month end reports as requested for CFO review. Run end of month reports for calculating outside provider payments.
