- Responsible for reviewing and approving potential admissions clinically and financially
- Review, medical necessity, and communicating patient's payor source to center along with supporting
- Work with centers to verify benefits and secure authorizations for managed care services
- Communicate with regional and center personnel to obtain patient record and insurance information
- Advocate for individual patient's health care needs when requesting authorizations from MCOs
- Respond to referral inquiry through multiple web-based portals and efaxes from hospital discharge
- Maintain referral, admission, and discharge documentation for case management and authorization
- Be responsible for timely review, approval & communication of determination of potential admissions
- Work with Admissions management team to improve and optimize the admission process at Aspire Health
- Collaborate with facility administrators, directors of business development and nursing directors in order
- Provides VP of Business Development & Marketing, COO, VPOs, RDOs, Regional teams and Center teams
- Coordinating the resident referral and approval process in an efficient manner
- Establishing & maintaining relationships with local hospitals, physicians & community organizations for the
- Understand the admissions process including policy, procedures, assessments & paperwork requirements,
- Strong Understanding of LTC Financial Verification Process
- Strong Understanding of LTC IA Medicaid Qualification/Requirements
- Strong assessment and organizational skills
- Ability to Multi-task and work under time constraints
- Proactive approach to intake management demonstrating leadership skills at all times
- Solid computer skills; working knowledge of PCC, EPIC, Ensocare, MS Office and CMR
- Knowledge of long-term care admission requirements
-
Centralized Intake Specialist
1 week ago
ASPIRE Mason City, United StatesCentralized Intake Specialist · Beacon 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 responsibilitie ...
-
Centralized Intake Specialist
2 days ago
Aspire Mason City, United StatesJob Description · Job DescriptionCentralized Intake Specialist · Beacon 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 Developmen ...
centralized intake specialist - Mason City, IA , USA, United States - Aspire
Description
Centralized Intake Specialist
Beacon 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:
REQUIREMENTS: