Daily identifying and tracking of high-risk subset patients admitted to hospitals and other healthcare facilities.• Building relationships with local physicians and leaders in hospitals, post-acute facilities, and primary care clinics. • Responsible for transition of care planning and serve as the hub, in collaboration with the case manager, for distribution of treatment plan to community-based service providers post discharge.• Responsible for providing administrative support for the transitional care team, includes one or more physicians, nurse practitioners, nurse case managers, and social workers to improve the care of patients transitioning from acute care hospitals to post-acute care facilities and to home.• Documents all aftercare and transition information in member record.• Secures discharge and transition plans from discharging facilities and evaluating plans to ensure compliance with clinical and quality requirements.• Serves as a bridge between inpatient and outpatient treatment providers.• Notices health plan partner of all inpatient admissions and discharges and engaging health plan staff in discharge planning activities as needed in conjunction with the assigned care manager.• Identifies community resources and services to improve program effectiveness and quality.

• Manage patient's hospital admittance and discharge, schedule patients for appointments, and interview patients for case history.• Populate database with patient information, complete system backups.• Daily compile 50 medical records and charts, process insurance payments, complete patient identification information.• Documented patient care services by transcribing physician's patient notes, and medical records.• Maintain unit operations by following policies and procedure to protect patient's privacy and confidential records.• Conserve unit resources and keep unit equipment operational following manufacturer's instructions and procedures.• Telephonically verified insurances and authorizations for patient visits and medications.• Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability

• Kept organized documentation of prescription refill information for office of 5 physicians.• Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience• Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing• Enhanced office productivity by handling high volume of callers per day• Conducted insurance verification and pre-authorizations and managed patient charts• Converted paper charts into digital files and uploaded to EMR system• Supported office staff and operational requirements with administrative tasks• Carried out front office duties utilizing data entry skills in framework of medical database• Advocated for patients through conversations with insurance representatives