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Centralized Intake Specialist

4 months ago

Bettendorf, United States ASPIRE Full time

Centralized Intake Specialist Beacon 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 Job Posted by ApplicantPro