UM Intake Coordinator

TruHealth

Iowa City (IA)

Presencial

USD 42.000 - 60.000

Jornada completa

Hace 7 días
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Ventajas ofrecidas por este puesto de trabajo

Medical/Dental/Vision insurance
Paid time-off
TeleDoc 24/7/365 access to doctors
Disability insurance (short- and long‑
Employee Assistance Plan (EAP)
401K retirement accounts with company’
Employee Referral Bonus Program

Descripción de la vacante

American Health Plans in Iowa City, IA is seeking a referrals/intake coordinator to manage screening and processing of referral information, verify benefits, secure prior authorizations, and ensure seamless admissions. The role emphasizes ethical conduct, teamwork, and compliance with agency policies in a healthcare setting.

The position may involve overtime and weekend hours and requires strong communication skills and attention to detail to support high-quality patient care.

Formación

  • Clear communication and active listening are required.
  • Three (3) years experience in a healthcare-related environment preferred.

Responsabilidades

  • Receives, screens and processes all referral information.
  • Verifies benefits, payment methods and amounts; obtains prior authorization as needed.
  • Ensures timely and accurate processing of referrals/admissions.
  • Back-up for review of potential insurance contracts.
  • Adheres to ethical standards and professional conduct.
  • Takes initiative and collaborates with team to meet goals.
  • Maintains a safe, respectful environment and adheres to policies.
  • Performs other duties as assigned by supervisor.

Conocimientos

Communication

Educación

High School Diploma

Descripción del empleo

You must reside in one of the following states for this position:AL, AR, AZ, GA, IA, ID, IL, IN, KS, KY, LA, MI, MO, MS, NY, OH, OK, PA, SC, TN, TX, UT, WI

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I‑SNPs) for seniors who reside in long‑term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Iowa, Idaho, Louisiana, and Indiana with planned expansion into other states in 2025. For more information, visit AmHealthPlans.com.

Benefits and Perks include:
  • Affordable Medical/Dental/Vision insurance options
  • Generous paid time-off program and paid holidays for full time staff
  • TeleDoc 24/7/365 access to doctors
  • Optional short- and long-term disability plans
  • Employee Assistance Plan (EAP)
  • 401K retirement accounts with company match
  • Employee Referral Bonus Program
POSITION SUMMARY:

The purpose of this position is to assume primary responsibility for receiving, screening and processing all referral and intake information.

ESSENTIAL JOB DUTIES:
  • Receives, screens and processes all referral information
  • Performs verification of benefits:o Verify benefitso Verify payment method and amounto Obtain prior authorization to ensure that services are reimbursable prior to admissiono Assign appropriate payer category to be keyed by facility personnelo Scan information back to requesting facility
  • Ensure timely and accurate processing of all referrals/admissions
  • Back-up for review of potential insurance contracts
  • Adheres to ethical business practices by striving to perform in a manner that conforms to the highest standards of ethical behavior, integrity and honesty
  • Takes initiative and responsibility for decisions as an individual and as a company. Exhibits commitment to personal and companywide goals
  • Encourages a positive environment and experience for co‑workers
  • Treats employees with respect and embraces diversity and demonstrates the ability to work together.
  • Promotes a safe and efficient working environment by adhering to agency policies and procedures
  • Adheres to departmental and agency dress codes as observed by supervisor
  • Performs other duties as assigned by supervisor
Required Skills:
  • Communication skills and active listening
Required Work Experience:
  • Three (3) years experience is a healthcare related environment preferred
Licensing/Certification/Education Requirements:
  • High School Diploma required
Other Requirements:
  • Position may require unscheduled overtime, week-end work
  • Must be willing and able to work flexible hours" style="
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