NICOLE SOUCY

The Clinical Enrollment Specialist is tasked with enrolling referred patients to the AWP practice and facilitating an initiating visit with the Nurse Practitioners. In addition, this role includes administrative tasks and delivers patient care directly to patients and caregivers.

. Directly responsible for calling patients that have been referred to AWP and enrolling patients in AWP chronic care managment, transitional care managment and remote patient monitoring services.

. Obtaining patient consent, insurance information, and clinical information in order to facilitate a successful telehealth visit with our NP.

. Check-in-in our patients for their telehealth meeting at their determined appointment time and prepping them for their provider visit.

. Administrative tasks such as insurance verification, receiving of copays or patient payments, and other coordinating patient communication.

. Communicates with AWP clinical practice leader and healthcare providers as appropriate to ensure timely communication about patient care and concerns.

. Places and receives high volumes of patient calls daily, while remaining organized and diligent with any identified follow up tasks.

. Prepares documentation for billing purposes for Chronic Care Management program.

. Achieves monthly enrollment goals for referred patients.

. Communicates in a caring and professional manner with patents, staff, and physicians.

. Actively advocates for patients to improve their healthcare experience and treatment outcomes.

. Other duties as assigned.

• Efficiently and accurately process medical referrals and requests from CCA clinicians, members, and providers.
• Ensure the timely submission of demographic information for service decision requests, following clinical staff instructions.
• Manage all requests with precision and adherence to established performance and compliance standards.
• Update and maintain data across multiple electronic medical records systems (internal and external), ensuring the accuracy of clinical care team assignments, support service agency assignments, and member demographics.
• Reconcile data across various electronic medical records and the care management platform to ensure accuracy in managerial, operational, and financial reporting.
• Execute additional responsibilities as assigned by the supervisor.

• Spearheaded a project to send email notifications to top customers regarding the discontinuation of specific medical devices.
• Accurately entering relevant data into the company's system.
• Systematically filing and organizing data in Synergy to ensure accuracy and accessibility.
• Temporary position

• Efficiently schedule Registered Nurses (RNs) and Licensed Nurses (LNs) to meet the home health care needs of clients.
• Manage and direct incoming telephone communications with professionalism and promptness.
• Process and intake referrals, ensuring accuracy and completeness of information.
• Oversee and manage health insurance documentation and inquiries.
• Perform precise data entry to maintain and update comprehensive records.
• Coordinate and schedule interviews for RN and LNA candidates, ensuring a smooth hiring process.

• Oversee centralized referrals from community sources, ensuring a seamless referral management process.
• Receive, map, and verify referrals to determine serviceability, initiate insurance authorization, and route referrals to the appropriate resource for scheduling initial therapy appointments.
• Ensure immediate response to phone, fax, and email inquiries and referrals; promptly notify the Director of Rehabilitation of any questions or concerns.
• Accurately enter patient demographic information into designated software platforms to enhance coordination of services.
• Communicate effectively with patients and their families to confirm receipt of referrals.
• Liaise with physician offices to obtain necessary orders for rehabilitation services and secure physician signatures on required medical record documents.
• Upload and add relevant documents to the medical record through designated processes.
• Obtain additional demographic information as needed to facilitate patient onboarding.

• Schedule patient appointments, ensuring accurate collection of demographics and insurance information for registration in the Epic healthcare system.
• Triaged messages to nurses and medical assistants, handled medication refill requests, and managed medical records and referrals.

• Schedule appointments and effectively communicated with nurses and medical assistants to triage patient needs and process medication refill requests.
• Set up new patients by gathering and verifying required information, including primary health insurance details, previous primary care physicians, and current medications.
• Delivered professional customer service to enhance patient satisfaction and streamline operations.

• Schedule patient appointments, pre-registered patients, and obtained demographic and insurance information.
• Process prescription refills, handled a high volume of calls, and responded to general information requests and inquiries.
• Maintained accurate call tracking and ensured all patient information was collected and documented properly.

• Review and process incoming paperwork and files, ensuring accuracy and completeness.
• Sort and organize paperwork and files, both manually and electronically.
• File multiple sub-folders within folders, maintaining a structured and efficient filing system.
• Create and update records, ensuring data integrity.
• Scan and enter documents into electronic filing systems.
• Develop and maintain an efficient filing system, adhering to organizational standards.
• Perform data entry tasks using Microsoft Excel, ensuring precise and accurate information management.

• Deliver exceptional customer service by handling incoming and outgoing calls with professionalism and efficiency.
• Update and verify personal information for credit reporting disputes, ensuring accuracy and confidentiality.
• Manage and resolve customer complaints, providing effective solutions and maintaining high customer satisfaction.
• Utilize available resources to search and retrieve customer information promptly.
• Provide customers with detailed product and service information.
• Answer and route calls to appropriate departments, ensuring seamless communication.
• Enter and maintain accurate electronic customer files.
• Complete call logs by documenting all information according to standard operating procedures, ensuring compliance and accuracy.