Centralized Intake Specialist

3 weeks ago

Des Moines, United States ASPIRE Full time

Centralized Intake SpecialistBeacon Health Management operates 10 skilled nursing facilities in Iowa. We are seeking a Centralized Intake Specialist to join our organization. Under the supervision of the Vice President of Business Development, duties and responsibilities of the Centralized Intake Specialist will include:•Responsible for reviewing and approving potential admissions clinically and financially •Review, medical necessity, and communicating patient's payor source to center along with supporting documentation •Work with centers to verify benefits and secure authorizations for managed care services •Communicate with regional and center personnel to obtain patient record and insurance information needed to secure authorizations. •Advocate for individual patient's health care needs when requesting authorizations from MCOs •Respond to referral inquiry through multiple web-based portals and efaxes from hospital discharge planners, families, and other referral sources. •Maintain referral, admission, and discharge documentation for case management and authorization purposes •Be responsible for timely review, approval & communication of determination of potential admissions clinically and financially to our skilled rehabilitation and nursing centers. •Work with Admissions management team to improve and optimize the admission process at Aspire Health Facilities in Iowa. •Collaborate with facility administrators, directors of business development and nursing directors in order to support admission needs at each location •Provides VP of Business Development & Marketing, COO, VPOs, RDOs, Regional teams and Center teams with information and feedback from the providers in the region. •Coordinating the resident referral and approval process in an efficient manner •Establishing & maintaining relationships with local hospitals, physicians & community organizations for the purpose of generating consistent admissions to the facility •Understand the admissions process including policy, procedures, assessments & paperwork requirements, clinical criteria and financial verification process.REQUIREMENTS:•Strong Understanding of LTC Financial Verification Process•Strong Understanding of LTC IA Medicaid Qualification/Requirements•Strong assessment and organizational skills •Ability to Multi-task and work under time constraints •Proactive approach to intake management demonstrating leadership skills at all times •Solid computer skills; working knowledge of PCC, EPIC, Ensocare, MS Office and CMR •Knowledge of long-term care admission requirements

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