Coordinator, Precertification - Home Care Administration - Full Time

Guthrie Enterprise • Vestal, NY

13d • Onsite

About The Position

Under general supervision, to perform a variety of routine to moderately difficult office support activities, which may include recordkeeping, working in online portals, processing forms, report preparation, typing, and filing; and functioning as a positive and cooperative team member.

Requirements

• 1 year of applicable cumulative job specific experience required.
• Proficiency in online portals, and good computer skills.
• Must have excellent communication skills.

Nice To Haves

• Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Responsibilities

• Obtains authorization on for admissions as required by health plans.
• Enter patient insurance authorizations and any pertinent information from insurance company into the patient account history.
• Documents insurance coverage of services to be provided.
• Notifies case management about interactions with insurance companies regarding services.
• Communicate with clinical staff to coordinate appropriate staff visits.
• Communicates any changes in insurance coverage with office and clinical staff.
• Manage denials or potential denials as described by the insurer.
• Monitors and reviews the applicable schedule to ensure that authorization and initial length of stay is obtained and on file.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED