Healthcare Certification Assistant
4 weeks ago
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
- Make outgoing calls to hospitals to determine patient status, request discharge dates, and disposition information.
- Send faxes to hospitals with requests for clinical reviews and discharge needs.
- Monitor and attach faxes on the fax server as assigned.
- Transfer messages and clinical reviews from voice mails into the UR system.
- Perform scripted clinical screening as assigned, following the Policy and Procedure for Scripted Clinical Screening.
- Verify provider network status and clarify incomplete or contradictory non-clinical data.
- Notify providers of certification and read the disclaimer.
- Communicate with MD offices, hospital medical records, and UR departments as needed.
- 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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