PAYER TRACKING COORDINATOR

Responsibilities Include:
Verify and double check resident information (NRI) from admission
Follow HMO authorizations to ensure that every HMO patient is authorized
Follow LCD/last covered day and ensure payer change or patient discharge
Plan when Medicaid will be needed and work with the facility and families to obtain all necessary financial information for the medicare application
Follow through on Medicaid application until it is approved
Work on difficult applications. i.e: if guardian is needed, if discharging a patient from a facility is needed, retain an attorney…
Estimate the patient portion of Medicaid (NAMI)
Reinforce the NAMI collection and direct deposit as early as applicable
Deal with any issues/problems that may arise that may affect a patient’s payer (primary, secondary, and tertiary)