UM Intake Coordinator

Career Center•Nashville, TN

About The Position

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Iowa, Idaho, Louisiana, and Indiana with planned expansion into other states in 2025. For more information, visit AmHealthPlans.com . If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! POSITION SUMMARY: The purpose of this position is to assume primary responsibility for receiving, screening and processing all referral and intake information.

Requirements

Communication skills and active listening
Three (3) years experience is a healthcare related environment preferred
High School Diploma required
Position may require unscheduled overtime, week-end work
Must be willing and able to work flexible hours
Travel required
Microsoft Suite including Outlook, Excel, and Word
Ability to learn HRIS and/or scheduling systems
Standard Office Equipment
Computer

Responsibilities

Receives, screens and processes all referral information
Performs verification of benefits: o Verify benefits o Verify payment method and amount o Obtain prior authorization to ensure that services are reimbursable prior to admission o Assign appropriate payer category to be keyed by facility personnel o Scan information back to requesting facility
Ensure timely and accurate processing of all referrals/admissions
Back-up for review of potential insurance contracts
Adheres to ethical business practices by striving to perform in a manner that conforms to the highest standards of ethical behavior, integrity and honesty
Takes initiative and responsibility for decisions as an individual and as a company.
Exhibits commitment to personal and companywide goals
Encourages a positive environment and experience for co-workers
Treats employees with respect and embraces diversity and demonstrates the ability to work together.
Promotes a safe and efficient working environment by adhering to agency policies and procedures
Adheres to departmental and agency dress codes as observed by supervisor
Performs other duties as assigned by supervisor