Intake Authorization Coordinator

University Hospitals; Warrensville Heights (OH); On-site; USD 52,000 - 68,000; Full time

Job summary

University Hospitals is seeking an Intake Authorization Coordinator in Ohio to manage patient authorizations across home care services and payer types. You will verify coverage, communicate with payers, and document findings in our certified software systems.

The role requires 3+ years in a hospital/post-acute insurance environment, strong knowledge of Medicare/Medicaid rules, and excellent organizational skills. Weekend/holiday rotation may be needed.

Qualifications

• 3+ years experience in hospital/post-acute insurance setting.
• High School Equivalent / GED required; medical terminology courses preferred.
• Knowledge of Medicare and Medicaid regulations and reimbursement.
• Strong knowledge of medical terminology.
• Strong knowledge of Commercial Insurance rules.
• Basic computer skills.

Responsibilities

• Initiates and maintains high level of customer service and employee relationships.
• Obtains authorization for all disciplines for Home Care Services; verifies insurance and benefits.
• Verifies and allocates accurate insurance plans; uses eligibility tools and payer portals.
• Communicates with internal/external customers by email, phone, and doc halo.
• Documents payer and government agency findings in agency software.
• Collaborates with Intake Referral, Revenue Cycle, Clinical Managers, and Patient Services.
• Ensures productivity and quality standards; manages workloads.
• Maintains high accuracy and strong organizational skills.
• May require rotating weekends and holidays.

Skills

Customer service

Communication

Organizational skills

Attention to detail

PHI handling

Education

High School Diploma or GED

Medical terminology courses (Preferred)

Tools

Electronic eligibility portals

Certified software systems

Job description

Job Description - Intake Authorization Coordinator (260008SY)

Intake Authorization Coordinator - ( 260008SY )

What You Will Do

• Initiates and maintains a high level of customer service and positive employee relationships.
• Responsible for obtaining authorization for all disciplines for Home Care Services; inclusive of verification of insurance and benefits to ensure appropriate reimbursement from commercial payers, government payers and state agencies.
• Strong knowledge of verifying and allocating accurate insurance plans; ability to utilize electronic eligibility tools, accessing web portals, & making phone calls to payers to ensure accurate coverage is obtained.
• Effectively and professionally communicates with internal and external customers via emails, telephone, and doc halo.
• Ability to document appropriately all findings/statuses from Insurance payers and/or government agencies in certified software systems employed by the agency.
• Effectively collaborates with other closely related departments such as Intake Referral Team, Revenue Cycle, Clinical Managers and Patient Services Coordinators.
• Ensures compliance with department productivity and quality standards; ability to effectively manage varying workloads.
• Strong organizational skills and a high level of accuracy are required.
• This position will require working rotating weekends and holidays as needed by department volume.

Additional Responsibilities

• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Education

• High School Equivalent / GED (Required) and
• Medical terminology courses (Preferred)

Work Experience

• 3+ years experience in the hospital/post-acute insurance setting (Required)

Knowledge, Skills, & Abilities

• Knowledge of Medicare and Medicaid regulations and reimbursement. (Required proficiency)
• Strong knowledge of medical terminology (Required proficiency)
• Strong knowledge of Commercial Insurance rules and regulations. (Required proficiency)
• Basic computer skills (Required proficiency)

Physical Demands

• Standing Occasionally
• Walking Occasionally
• Sitting Constantly
• Lifting Rarely 20 lbs
• Carrying Rarely 20 lbs
• Pushing Rarely 20 lbs
• Pulling Rarely 20 lbs
• Climbing Rarely 20 lbs
• Balancing Rarely
• Stooping Rarely
• Kneeling Rarely
• Crouching Rarely
• Crawling Rarely
• Reaching Rarely
• Handling Occasionally
• Grasping Occasionally
• Feeling Rarely
• Talking Constantly
• Hearing Constantly
• Repetitive Motions Frequently
• Eye/Hand/Foot Coordination Frequently

Travel Requirements

• 10%