Intake Authorization Coordinator
Ohio, United States2w ago
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Skills
customer servicemedical terminology
About the role
- Initiates and maintains a high level of customer service and positive employee relationships.
- Responsible for obtaining authorization for all disciplines for Home Care Services; inclusive of verification of insurance and benefits to ensure appropriate reimbursement from commercial payers, government payers and state agencies.
- Strong knowledge of verifying and allocating accurate insurance plans; ability to utilize electronic eligibility tools, accessing web portals, & making phone calls to payers to ensure accurate coverage is obtained.
- Effectively and professionally communicates with internal and external customers via emails, telephone, and doc halo.
- Ability to document appropriately all findings/statuses from Insurance payers and/or government agencies in certified software systems employed by the agency.
- Effectively collaborates with other closely related departments such as Intake Referral Team, Revenue Cycle, Clinical Managers and Patient Services Coordinators.
- Ensures compliance with department productivity and quality standards; ability to effectively manage varying workloads.
- Strong organizational skills and a high level of accuracy are required.
- This position will require working rotating weekends and holidays as needed by department volume.
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients.
- Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
- full time 40 hours per week.
- Monday-Friday with rotating weekends and holidays.
- 90 day new hire orientation and mandatory on-site.
- After the 90 day new hire orientation, the position will be come hybrid.
- Initiates and maintains a high level of customer service and positive employee relationships.
- Responsible for obtaining authorization for all disciplines for Home Care Services; inclusive of verification of insurance and benefits to ensure appropriate reimbursement from commercial payers, government payers and state agencies.
- Strong knowledge of verifying and allocating accurate insurance plans; ability to utilize electronic eligibility tools, accessing web portals, & making phone calls to payers to ensure accurate coverage is obtained.
- Effectively and professionally communicates with internal and external customers via emails, telephone, and doc halo.
- Ability to document appropriately all findings/statuses from Insurance payers and/or government agencies in certified software systems employed by the agency.
- Effectively collaborates with other closely related departments such as Intake Referral Team, Revenue Cycle, Clinical Managers and Patient Services Coordinators.
- Ensures compliance with department productivity and quality standards; ability to effectively manage varying workloads.
- Strong organizational skills and a high level of accuracy are required.
- This position will require working rotating weekends and holidays as needed by department volume.
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients.
- Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
- full time 40 hours per week.
- Monday-Friday with rotating weekends and holidays.
- 90 day new hire orientation and mandatory on-site.
- After the 90 day new hire orientation, the position will be come hybrid.
- High School Equivalent / GED required and
- Medical terminology courses preferred.
- 3+ years experience in the hospital/post-acute insurance setting required.
- Knowledge of Medicare and Medicaid regulations and reimbursement. (Required proficiency)
- Strong knowledge of medical terminology (Required proficiency)
- Strong knowledge of Commercial Insurance rules and regulations. (Required proficiency)
- Basic computer skills (Required proficiency)
Physical Demands
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely 20 lbs
- Carrying Rarely 20 lbs
- Pushing Rarely 20 lbs
- Pulling Rarely 20 lbs
- Climbing Rarely 20 lbs
- Balancing Rarely
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Crawling Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
Travel Requirements
- 10%
- High School Equivalent / GED required and
- Medical terminology courses preferred.
- 3+ years experience in the hospital/post-acute insurance setting required.
- Knowledge of Medicare and Medicaid regulations and reimbursement. (Required proficiency)
- Strong knowledge of medical terminology (Required proficiency)
- Strong knowledge of Commercial Insurance rules and regulations. (Required proficiency)
- Basic computer skills (Required proficiency)
Physical Demands
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely 20 lbs
- Carrying Rarely 20 lbs
- Pushing Rarely 20 lbs
- Pulling Rarely 20 lbs
- Climbing Rarely 20 lbs
- Balancing Rarely
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Crawling Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
Travel Requirements
- 10%
4510 Richmond Road (83)
4510 Richmond Road
Warrensville Heights, 44128