Intake Authorization Coordinator

• 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.
• Monday-Friday with rotating weekends and holidays.
• 90 day new hire orientation and mandatory on-site.
• After the 90 day new hire orientation, the position will be come hybrid.
• High School Equivalent / GED required and
• Medical terminology courses preferred.
• 3+ years experience in the hospital/post-acute insurance setting required.
• Knowledge of Medicare and Medicaid regulations and reimbursement. (Required proficiency)
• Strong knowledge of medical terminology (Required proficiency)
• Strong knowledge of Commercial Insurance rules and regulations. (Required proficiency)
• Basic computer skills (Required proficiency)

Physical Demands

• Standing Occasionally
• Walking Occasionally
• Sitting Constantly
• Lifting Rarely 20 lbs
• Carrying Rarely 20 lbs
• Pushing Rarely 20 lbs
• Pulling Rarely 20 lbs
• Climbing Rarely 20 lbs
• Balancing Rarely
• Stooping Rarely
• Kneeling Rarely
• Crouching Rarely
• Crawling Rarely
• Reaching Rarely
• Handling Occasionally
• Grasping Occasionally
• Feeling Rarely
• Talking Constantly
• Hearing Constantly
• Repetitive Motions Frequently
• Eye/Hand/Foot Coordination Frequently

Travel Requirements

• 10%