Intake Authorization Coordinator

University Hospitals•Warrensville Heights, OH

9h•Hybrid

About The Position

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. This position requires strong knowledge of verifying and allocating accurate insurance plans, utilizing electronic eligibility tools, accessing web portals, and making phone calls to payers to ensure accurate coverage is obtained. The role involves effective and professional communication with internal and external customers via emails, telephone, and doc halo, and appropriate documentation of all findings/statuses from Insurance payers and/or government agencies in certified software systems. The Intake Authorization Coordinator will collaborate with closely related departments such as Intake Referral Team, Revenue Cycle, Clinical Managers, and Patient Services Coordinators, while ensuring compliance with department productivity and quality standards and managing varying workloads. This position requires strong organizational skills and a high level of accuracy. The role also involves performing other duties as assigned, complying with all policies and standards, and abiding by all requirements to safely and securely maintain Protected Health Information (PHI) for patients, including annual training on the UH Code of Conduct and UH policies and procedures.

Requirements

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

Nice To Haves

Medical terminology courses preferred

Responsibilities

Obtaining authorization for all disciplines for Home Care Services.
Verifying insurance and benefits to ensure appropriate reimbursement from commercial payers, government payers, and state agencies.
Utilizing electronic eligibility tools, accessing web portals, and making phone calls to payers to ensure accurate coverage.
Communicating effectively and professionally with internal and external customers via emails, telephone, and doc halo.
Documenting appropriately all findings/statuses from Insurance payers and/or government agencies in certified software systems.
Collaborating with other closely related departments such as Intake Referral Team, Revenue Cycle, Clinical Managers, and Patient Services Coordinators.
Ensuring compliance with department productivity and quality standards.
Effectively managing varying workloads.
Performing other duties as assigned.
Complying with all policies and standards.
Abiding by all requirements to safely and securely maintain Protected Health Information (PHI) for patients.