Job Number:

32979

Location:

Phoebe Putney Memorial Hospital

Street Address:

417 W 3rd Ave

City, State:

Albany, Georgia

Zip Code:

31701

Department:

PPMH CARE MANAGEMENT

Shift:

Days

Job Type:

Full time

Posted Date:

2025-10-29

Job Description Summary:

The Care Management Representative assists the Care Management team with accurate and timely initiation and completion of payer specific information and communications flow to facilitate appropriate LOS and payer reimbursement. Primary responsibilities include obtaining insurance certification, functioning as a liaison with third party payers, communicating clinical information to the insurance companies as requested, and notifying the Care Management team of any actual or potential denials.

GENERAL REQUIREMENTS
Adheres to the hospital and departmental attendance and punctuality guidelines
Performs all job responsibilities in alignment with the core values, mission and vision of the organization
Performs other duties as required and completes all job functions as per departmental policies and procedures
Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.
Wears protective clothing and equipment as appropriate.

WORKING CONDITIONS
General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
May be exposed to limited hazardous substances or body fluids, or infectious organisms.
May be required to change from one task to another of different nature without loss of efficiency or composure.
Periods of high stress and fluctuating workloads may occur.

Description: