Case Managment Assistant
1 week ago
Case Managment Assistant
Job ID: AAS Tupelo Administrative Support - CASE MANAGEMENT Full Time - Day
Posting Description
At North Mississippi Health Services, our mission is to continuously improve the health of the people of our region. Our vision is to provide the best patient and family-centered care and health services in America. We believe that fulfilling our mission and vision calls us to embrace the best people that form incredible connections to our patients and families.
We take pride in celebrating everything that makes you uniquely you your talents, your perspectives, and your passions. At North Mississippi Health Services, we believe in connecting your passion with a purpose. When you are part of our team, you know what connected feels like.
#WhatConnectsYou
Job Description
Recordkeeping/Documentation/Reporting:
Manage the reconsideration and clinical appeals processing of documents from IQH, HMS, and other 3rd party payers Documents and notifies insurance companies/3rd party payors of patient hospitalization to NMMC-Acute Care setting Coordinates the retrieval and submission of patient medical information for maximum reimbursement Records and communicates payor requests and authorizations Retrieves requested medical information and submits to insurance company/3rd party payor for post-acute care coordination (i.e. UM Reviews including clinicals, Discharge Plan) Maintains electronic Blue Cross/Blue Shield of Mississippi Census and other electronic census that may arise Generates and provides chart audit reports to appropriate personnel Reconciles discharge dispositions and other regulatory requirements as assigned Manages, documents, and tracks Medicaid TAN requests Electronic submission of Medicaid reviews for certification as requiredClerical : Answers telephone calls, takes messages and responds to emails in a polite, professional manner
Communication: Communicates effectively with staff, patients, family members, vendors and Management
Customer Service: Provides accurate information and direction for patients, visitors, and staff; has a knowledge of hospital functions and resources Supports staff as needed
Education: Maintain annual review requirements
Regulatory Compliance : Adheres to NMHS/NMMC Policies/Procedures/Guidelines Complies with applicable Local/State/Federal policies/procedures/guideline/regulations/laws/statues
Requirements: High School Diploma or equivalent; required/Associates Degree in Business Administration, Office System Technology or related field; preferred Minimum of 1 year administrative, managerial, supervisory, clerical, or office experience; required Excellent organizational and communication (written and verbal) skills; required Working knowledge of wireless paging systems, computer systems and programs; required Excellent telephone etiquette; required Excellent knowledge of medical terminology; required Effective interpersonal skills; required
Requirements
No additional requirements from any stated in the above description.-
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