UM Intake Coordinator

TruHealth; Oregon; Hybrid; USD 42,000 - 56,000; Full time

Benefits offered by this job

Affordable Medical/Dental/Vision保险选项

Generous paid time-off program andpaid

TeleDoc 24/7/365 access to doctors

Optional short- and long-term disable

Employee Assistance Plan (EAP)

401K retirement accounts with company

Employee Referral Bonus Program

Job summary

American Health Plans, a division of American Health Partners Inc., is seeking an intake/referral specialist to receive, screen and process referral information. You will verify benefits, obtain prior authorizations, and ensure services are reimbursable prior to admission.

The role requires strong communication, attention to detail and the ability to work flexible hours, with possible overtime and weekend shifts. A High School Diploma is required and prior healthcare experience is preferred.

Qualifications

• Three (3) years experience is a healthcare related environment preferred.
• High School Diploma required.
• Position may require unscheduled overtime, weekend work

Responsibilities

• Receives, screens and processes all referral information
• Performs verification of benefits and prior authorizations to ensure services are reimbursable
• Ensures timely and accurate processing of referrals/admissions
• Back-up for review of potential insurance contracts
• Adheres to ethical business practices and maintains professionalism
• Takes initiative and supports company goals
• Encourages a positive environment and teamwork
• Promotes a safe and efficient working environment
• Adheres to dress codes as observed by supervisor
• Performs other duties as assigned by supervisor

Skills

Communication skills

Education

High School Diploma

Job description

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="