Intake Authorization Coordinator

University Hospitals Pain Management; Warrensville Heights, Northern (OH, KY); Hybrid; USD 42,000 - 54,000; Full time

Job summary

University Hospitals Pain Management is seeking a detail‑oriented professional to deliver high‑level customer service, foster positive employee relationships, and coordinate authorization for Home Care Services with correct insurance verification to ensure proper reimbursement.

You will use electronic eligibility tools to verify plans, contact payers by phone or portal, document findings in the agency’s software, and collaborate with Intake Referral, Revenue Cycle, Clinical Managers and Patient

Responsibilities

• 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.

Job description

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.