Healthcare Certification Assistant

4 weeks ago


Rockford, Illinois, United States Hines & Associates Inc Full time

Job Summary

Hines & Associates Inc is seeking a skilled Certification Process Coordinator to join our team. As a key member of our certification process, you will be responsible for performing various administrative tasks to support the certification process.

Key Responsibilities

  1. Make outgoing calls to hospitals to determine patient status, request discharge dates, and disposition information.
  2. Send faxes to hospitals with requests for clinical reviews and discharge needs.
  3. Monitor and attach faxes on the fax server as assigned.
  4. Transfer messages and clinical reviews from voice mails into the UR system.
  5. Perform scripted clinical screening as assigned, following the Policy and Procedure for Scripted Clinical Screening.
  6. Verify provider network status and clarify incomplete or contradictory non-clinical data.
  7. Notify providers of certification and read the disclaimer.
  8. Communicate with MD offices, hospital medical records, and UR departments as needed.
  9. Document all activities in the UR file according to procedure.

Requirements

High School Diploma or equivalent with some post-secondary education desirable. Knowledge of computers, fluent keyboarding, data entry in databases, word processing, and multiple line telephone systems. Bi-lingual helpful but not required.

Experience in the healthcare industry, such as medical transcription, and successful completion of the URA orientation program and maintenance of minimal QA standards. 1-2 years experience or relevant education in the healthcare industry.

Personal Qualifications

Helpful and friendly telephone personality. Ability to proof written material accurately, accurate data entry ability. Ability to organize a large variety of tasks and prioritize as directed by UR Manager. Understanding of customer service.



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