Hours: Part-time, 8am - 5pm, Saturday and Sunday Responsibilities: Verifies insurance coverage for inpatient referrals. Communicates insurance coverage information to Nurse Liaisons and any appropriate Brooks interdisciplinary team members. Submits medical information, treatment plans, and therapy documentation to insurance companies to obtain pre-certifications and authorizations for all inpatient admissions. Coordinates Brooks Physician signing for all Medicare and Managed Medicare admissions Facilitates single case agreements with out-of-contract insurance companies. Schedules all accepted referrals for admission and coordinates the appropriate program placement Compiles data on daily basis for pending inpatient admissions. Facilitates the collection, organization and distribution of transitional care documentation Responsible for telephone inquiries for inpatient admission information and responds to internal and external correspondences. Appropriately utilizes the electronic fax platform, referral platforms, and bed tracking software to support all inpatient admissions. Notifies multiple departments of appropriate admission alerts through bed tracking software and email communication. Coordinates the denial process for Peer-to-Peer and expedited appeals with insurance providers and the appropriate physician; referring physician, attending physician, Brooks attending physician and/or the Brooks Medical Director of Admissions. Communicates bed availability with the Nurse Liaison team multiple times per day Elevates all admission issues to the Manager of Admission Services Responsible for other duties as assigned in support of all inpatient admissions Qualifications: High school diploma 2+ years of medical office experience. Knowledge of Microsoft Office. Experience with referral platforms such as Allscripts, NaviHealth & CareLink Desired: 2+ years of experience with the verification & authorization processes for Medicare, Medicaid and commercial insurance providers Hours: Part-time, 8am - 5pm, Saturday and Sunday Location: 3599 University Blvd, Jacksonville, FL 32216 Compensation: Experience, education and tenure may be considered along with internal equity when job offers are extended. Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following: Competitive Pay Comprehensive Benefits package Vacation/Paid Time Off Retirement Plan Employee Discounts Clinical Education and Professional Development Programs
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Job Type
Part-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED