What a internal medicine chronic care management (ccm) specialist does
An internal medicine CCM specialist runs the monthly Medicare Chronic Care Management program (CPT 99490, 99439, 99487, 99489) for the practice's qualifying adult patients with two or more chronic conditions — diabetes, CHF, COPD, CKD, atrial fibrillation, and beyond. Each month they call enrolled patients, reconcile medications, screen for new symptoms or care barriers, update the comprehensive care plan in the EHR, and document the 20+ minutes of non-face-to-face care needed to bill the codes.
They coordinate with home health, pharmacy, specialists, and family caregivers, escalating clinical concerns to the provider in real time.
An internal medicine CCM specialist is a dedicated remote staff member who turns chronic care management into a recurring six-figure revenue line while measurably reducing hospitalizations.
Why Internal Medicine practices choose Staffing For Doctors
- Dedicated, full-time chronic care management (ccm) specialist — not a shared pool
- Internal Medicine-specific training on the EHRs and payers you use
- HIPAA compliant with signed BAA and secure devices
- Onboarded in 48 hours, with a dedicated Customer Success Manager
- Starts at $14/hour — no setup fees, no benefits overhead
Other internal medicine roles we staff
Build a complete remote team for your internal medicine practice.
Virtual Medical Assistant
An internal medicine virtual medical assistant supports the complex adult care workflow of an internist by managing scheduling, intake for new and follow-up patients, chart pre-visit prep, message triage, refill routing, and patient phone calls — all inside Athena, Epic, eClinicalWorks, NextGen, or Practice Fusion. They prioritize the panel by acuity, ensuring high-risk patients with multiple comorbidities are not lost in the inbox.
Learn moreMedical Scribe
An internal medicine medical scribe joins each adult patient encounter live over secure audio or video and documents the entire visit into the EHR — detailed HPI, comprehensive ROS, exam, assessment with differential reasoning, and a problem-based plan — so notes are closed in the room. Scribes are trained in the long, layered visits internal medicine demands: medication reconciliation across 8–15 drugs, comorbidity management, and follow-up of multiple specialist recommendations.
Learn moreCare Coordinator
An internal medicine care coordinator owns the work between visits — closing care gaps, managing transitions of care from the hospital (TCM), coordinating home health and hospice referrals, following up on abnormal results, and outreach for chronic disease management. They live in the EHR registry, pull HEDIS gap lists, and call patients personally to bring them back in.
Learn moreReferral Coordinator
An internal medicine referral coordinator manages the high volume of outbound referrals an adult primary care office generates — cardiology, pulmonology, GI, oncology, endocrinology, nephrology, behavioral health, and surgical specialties. They confirm insurance, secure prior auths and referral numbers required by Medicare Advantage and HMOs, send chart notes to the receiving specialist, schedule the patient, and chase the consult note back into the EHR.
Learn morePrior Authorization Specialist
An internal medicine prior authorization specialist owns prior auths for advanced imaging (cardiac MRI, PET, CT angiography), brand and biologic medications (GLP-1s, SGLT2s, PCSK9 inhibitors, biologics for IBD and rheumatology), DME, and Medicare Advantage specialist referrals. They submit through CoverMyMeds, Surescripts, and payer portals, attach required clinical documentation, follow up on status, work denials, and file peer-to-peer appeals.
Learn moreInsurance Verification Specialist
An internal medicine insurance verification specialist runs eligibility 48–72 hours before every visit — confirming the patient's PCP designation on Medicare Advantage, primary care visit copays, deductibles, and any visit limits or carve-outs for behavioral health and labs. They identify dual-eligible Medicare/Medicaid patients, MSP coverage, and recent plan changes that would otherwise cause denials.
Learn moreFrequently asked questions
About hiring a internal medicine chronic care management (ccm) specialist from Staffing For Doctors.