Healthcare Admissions Specialist
4 weeks ago
Company: OMNI MANOR INC
The role of the Managed Care Coordinator involves collaborating with the admissions team, patients and their families, as well as insurance providers to facilitate timely admissions. This is achieved through an effective pre-certification process aimed at optimizing patient benefits.
Key Responsibilities- Conduct pre-certification for admissions and readmissions.
- Maintain daily communication with insurance companies.
- Manage insurance appeals and payment disputes.
- Coordinate effectively with the Utilization Review (UR) team.
The ideal candidate will possess:
- A minimum of 1-2 years of experience in the healthcare sector, with a preference for progressive responsibilities.
- Strong critical thinking abilities and decisive judgment.
- The capability to work independently while meeting strict deadlines.
- Assertive, persuasive, and creative communication and negotiation skills.
- Excellent verbal and written communication skills.
- Strong interpersonal relations and organizational skills.
- The ability to build and maintain rapport with insurance providers, patients, families, and interdisciplinary teams.
- An associate degree in Accounts Receivable, Accounting, Billing, Clerical, or a related field is preferred.
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