Intake Authorization Coordinator

Uhhospitals

Ohio, United States4d ago

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Key details

Location
Ohio, United States
Work style
Onsite
Level
Mid level
Job type
Full-time
Experience
3–6 yrs
Function
Operations & Strategy
Focus area
other
Posted
4d ago

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

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