Aspire
Centralized Intake SpecialistBeacon Health Management operates 10 skilled nursing facilities in Iowa.
We are seeking a Centralized Intake Specialist to join our organization.
Under the supervision of the Vice President of Business Development, duties and responsibilities of the Centralized Intake Specialist will include:
o Responsible for reviewing and approving potential admissions clinically and financially o Review, medical necessity, and communicating patient's payor source to center along with supporting documentation o Work with centers to verify benefits and secure authorizations for managed care services o Communicate with regional and center personnel to obtain patient record and insurance information needed to secure authorizations.
o Advocate for individual patient's health care needs when requesting authorizations from MCOs o Respond to referral inquiry through multiple web-based portals and efaxes from hospital discharge planners, families, and other referral sources.
o Maintain referral, admission, and discharge documentation for case management and authorization purposes o Be responsible for timely review, approval & communication of determination of potential admissions clinically and financially to our skilled rehabilitation and nursing centers.
o Work with Admissions management team to improve and optimize the admission process at Aspire Health Facilities in Iowa.
o Collaborate with facility administrators, directors of business development and nursing directors in order to support admission needs at each location o Provides VP of Business Development & Marketing, COO, VPOs, RDOs, Regional teams and Center teams with information and feedback from the providers in the region.
o Coordinating the resident referral and approval process in an efficient manner o Establishing & maintaining relationships with local hospitals, physicians & community organizations for the purpose of generating consistent admissions to the facility o Understand the admissions process including policy, procedures, assessments & paperwork requirements, clinical criteria and financial verification process.
REQUIREMENTS:
o Strong Understanding of LTC Financial Verification Processo Strong Understanding of LTC IA Medicaid Qualification/Requirementso Strong assessment and organizational skills o Ability to Multi-task and work under time constraints o Proactive approach to intake management demonstrating leadership skills at all times o Solid computer skills; working knowledge of PCC, EPIC, Ensocare, MS Office and CMR o Knowledge of long-term care admission requirementsAbout the Company:
Aspire.
Estimated Salary: $20 to $28 per hour based on qualifications.
We are seeking a Centralized Intake Specialist to join our organization.
Under the supervision of the Vice President of Business Development, duties and responsibilities of the Centralized Intake Specialist will include:
o Responsible for reviewing and approving potential admissions clinically and financially o Review, medical necessity, and communicating patient's payor source to center along with supporting documentation o Work with centers to verify benefits and secure authorizations for managed care services o Communicate with regional and center personnel to obtain patient record and insurance information needed to secure authorizations.
o Advocate for individual patient's health care needs when requesting authorizations from MCOs o Respond to referral inquiry through multiple web-based portals and efaxes from hospital discharge planners, families, and other referral sources.
o Maintain referral, admission, and discharge documentation for case management and authorization purposes o Be responsible for timely review, approval & communication of determination of potential admissions clinically and financially to our skilled rehabilitation and nursing centers.
o Work with Admissions management team to improve and optimize the admission process at Aspire Health Facilities in Iowa.
o Collaborate with facility administrators, directors of business development and nursing directors in order to support admission needs at each location o Provides VP of Business Development & Marketing, COO, VPOs, RDOs, Regional teams and Center teams with information and feedback from the providers in the region.
o Coordinating the resident referral and approval process in an efficient manner o Establishing & maintaining relationships with local hospitals, physicians & community organizations for the purpose of generating consistent admissions to the facility o Understand the admissions process including policy, procedures, assessments & paperwork requirements, clinical criteria and financial verification process.
REQUIREMENTS:
o Strong Understanding of LTC Financial Verification Processo Strong Understanding of LTC IA Medicaid Qualification/Requirementso Strong assessment and organizational skills o Ability to Multi-task and work under time constraints o Proactive approach to intake management demonstrating leadership skills at all times o Solid computer skills; working knowledge of PCC, EPIC, Ensocare, MS Office and CMR o Knowledge of long-term care admission requirementsAbout the Company:
Aspire.
Estimated Salary: $20 to $28 per hour based on qualifications.
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