University Hospitals
Location: Cleveland,OH, USA
Date: 2024-11-28T06:30:15Z
Job Description:
- 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.
- 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.
- This position is full time 40 per week.
- Monday-Friday with rotating weekends and holidays.
- After the 90 day new hire orientation this position will become hybrid.
- This position will be the day shift.
Qualifications: - High School Equivalent / GED required.
- Medical terminology courses preferred.
- 3+ years experience in the hospital/post-acute insurance setting required.
- Knowledge of Medicare and Medicaid regulations and reimbursement.
- Strong knowledge of medical terminology.
- Strong knowledge of Commercial Insurance rules and regulations.
- Basic computer skills.