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managed care coordinator - Franklin, TN , USA, United States - American Health Partners
Description
JOB SUMMARY:
This position is responsible for receiving, screening and processing all managed care authorizations on recertification as well as requested part B authorizations.
ESSENTIAL JOB DUTIES:
To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.
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
REQUIRED QUALIFICATIONS:
o Exposure to healthcare marketing a plus
SUPERVISORY RESPONSIBILITES:
EQUAL OPPORTUNITY EMPLOYER
This Organization is an equal opportunity employer.
We do not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws.
This Organization will make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.A key part of this policy is to provide equal employment opportunity regarding all terms and conditions of employment and in all aspects of a person's relationship with the Organization including recruitment, hiring, promotions, upgrading positions, conditions of employment, compensation, training, benefits, transfers, discipline, and termination of employment.
I understand the contents of this job description are a summary, that they are intended as guidelines only, and it may be amended at any time.
I have reviewed this job description. I understand my job duties and responsibilities prior to signing this form. I certify that I can perform the essential functions and attest that I possess the qualifications as outlined.
Furthermore, I understand future performance evaluations are based on my ability to perform the duties and responsibilities outlined in this job description to the satisfaction of my immediate supervisor.
