Intake Authorization Coordinator

Position #: 24000DLO
Position: Intake Authorization Coordinator
UH Facility: Home Care Services
Shift: PRN
Status: Per Diem
Work Days of Week: PRN

City: Warrensville Heights

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ABOUT US

To Heal. To Teach. To Discover.

These words are more than just our mission, they embody the opportunities available to the world-class doctors, nurses, health care professionals and support staff who choose to join University Hospitals and Be the Difference.

From entry to executive level, every position and every professional at University Hospitals has a direct impact on our ability to offer excellent care to our patients, their families and our community.

Join Us and Be the difference in Advancing the Science of Health and the Art of Compassion.

Equal Opportunity Employer – minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity.

JOB DESCRIPTION & QUALIFICATIONS

Description

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.
Monday-Friday with rotating weekends and holidays.
This position is PRN to cover POA, LOA and staffing shortages.

Qualifications

High School Equivalent / GED required.
Medical terminology courses preferred.
3+ years experience in the hospital/post-acute insurance setting.
Knowledge of Medicare and Medicaid regulations and reimbursement.
Strong knowledge of medical terminology.
Strong knowledge of Commercial Insurance rules and regulations. Basic computer skills.

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LOCATION

Working at University Hospitals

Careers at University Hospitals offers opportunities to provide care locally in the Cleveland area with the power to impact healthcare nationwide. As a leader in our industry, our staff share a commitment to Be the Difference in the lives of our patients and our communities, from Northeast Ohio and beyond. Take a look at this video to discover how we’re building an organization for the future, today. Note: video content was obtained prior to the COVID-19 pandemic.

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Contact Us

To contact University Hospitals Human Resources department, or to request a reasonable accommodation, please call 216-767-8900 or send us an email at employment@uhhospitals.org

Equal Employment Opportunity Statement

It is the policy of University Hospitals to provide equal opportunity to all of our employees and applicants for employment. Decisions concerning employment, transfers and promotions or other conditions of employment are all made upon the basis of the best qualified candidate without regard to race, color, national origin, age, religion, veteran status, disability, gender, sexual orientation, gender identity, or marital status in accordance with Federal and Ohio law. A qualified individual with a disability will be considered for employment on the same basis as non- disabled applicants if he/she can perform the essential functions of the job sought, with or without a reasonable accommodation, and without imposing a direct threat to the health or safety of others or him/herself. EEO is the Law

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