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    Centralized Intake Specialist - Des Moines, United States - ASPIRE

    ASPIRE
    ASPIRE Des Moines, United States

    Found in: Lensa US 4 C2 - 4 days ago

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    Description
    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:


    • Responsible for reviewing and approving potential admissions clinically and financially
    • Review, medical necessity, and communicating patient's payor source to center along with supporting documentation
    • 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 needed to secure authorizations.
    • 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 planners, families, and other referral sources.
    • Maintain referral, admission, and discharge documentation for case management and authorization purposes
    • Be responsible for timely review, approval & communication of determination of potential admissions clinically and financially to our skilled rehabilitation and nursing centers.
    • Work with Admissions management team to improve and optimize the admission process at Aspire Health Facilities in Iowa.
    • Collaborate with facility administrators, directors of business development and nursing directors in order to support admission needs at each location
    • Provides VP of Business Development & Marketing, COO, VPOs, RDOs, Regional teams and Center teams with information and feedback from the providers in the region.
    • Coordinating the resident referral and approval process in an efficient manner
    • Establishing & maintaining relationships with local hospitals, physicians & community organizations for the purpose of generating consistent admissions to the facility
    • Understand the admissions process including policy, procedures, assessments & paperwork requirements, clinical criteria and financial verification process

    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
  • Aspire

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    Found in: Careerbuilder One Red US C2 - 3 days ago

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    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 ...

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    Found in: Lensa US 4 C2 - 5 days ago

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    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 responsibilitie ...

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