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Intake Authorization Coordinator

University Hospitals
Warrensville Heights, USA
Full-time
Mid · 3+ years experience
Hybrid
USD 20.76-32.47 hourly / hour
Discovered 4 weeks ago
doc haloelectronic eligibility tools

Full Job Posting

  • 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.
  • 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)
  • 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

• Eye And Hand And Foot Coordination Frequently

  • 10%

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