Intake Authorization Coordinator

2 weeks ago

Chardon, United States University Hospitals Full time
  • 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.
  • After the 90 day new hire orientation the position can become hybrid.
Qualifications:
  • High School Equivalent / GED required.
  • Medical terminology courses preferred.
  • 3+ years experience in the hospital/post-acute insurance setting required.
  • Knowledge of Medicare and Medicaid regulations and reimbursement.
  • Strong knowledge of medical terminology.
  • Strong knowledge of Commercial Insurance rules and regulations.
  • Basic computer skills.

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