National Church Residences

  • Authorization Coordinator

    Job ID
    2019-12621
    Type
    Regular Full-Time
    Location : Address
    Home and Community Services--Central
  • Overview

    PURPOSE

    According to prescribed policies and procedures of the organization including all applicable state, federal and accreditation regulations and under the general supervision of the Business Office Manager, is accountable for the overall verification of client benefits and third party payor authorization functions.

     

    Responsibilities

    ESSENTIAL FUNCTIONS

    • Manages all client benefit verification and authorizations by payor.

     

    • Serves as the home health liaison with case managers. Assists with management of authorizations relative to clinician plan of care and ensures timely request for additional coverage.

     

    • Assists with month end financial closing and completes all required reports for finance department.

     

    • Prepares external authorization, billing, managerial, productivity reports and/or logs.

     

    • Assists Business Office Manager and agency clinical staff with patient accounts activity and communications.

     

    • Attends agency and accounts receivable meetings as requested.

     

    • Active participant in IDT meetings providing updates and communication regarding authorization tracking to the Director of Clinical Management and field staff

     

     

     

    NON-ESSENTIAL FUNCTIONS

    • Ensures accurate documentation of payor information, including authorization details in clinical record.

     

    • Assists in back-up coverage of agency administrative office staff (e.g. Intake Coordinator, Scheduling Coordinator) as requested.

     

     

    EXPECTATIONS

    • Demonstrates and maintains a positive, professional manner, manages time efficiently and effectively, provides leadership as a role model to promote a team approach, collaborates a participates in policy creation and appropriate problem solving methods.

     

    • Must adhere to all policies, procedures, terms and conditions set forth in the National Church Residences’ Employee Information Guide (EIG) as well as any facility handbook including but not limited to corporate compliance, drug free workplace, safe work practices, all federal, state, local regulations and laws.
    • With respect to Client Rights, ensures all care is provided with respect and dignity for clients, reports all complaints made by clients and/or families to the appropriate supervisors, reports all allegations of abuse, misappropriation of funds/client property and/or any other corporate compliance, drug free workplace, safe work practices, all federal, state, local regulations and laws.

     

    • Performs other duties as assigned.

    Qualifications

    Education:       High School Diploma or GED. Some college preferred in business administration, health administration or related field.

     

    Experience:       A minimum of two years experience in office supervisory capacity in a home health and hospice agency or other related health program preferred.

     

    Travel:                 Up to 15%

     

    Mental:                Must have good communication, comprehension, computer and interpersonal skills.  Must have the ability to speak, read, write and understand English.

     

    Skills:                   Must have working knowledge of Windows, Microsoft Office Suite, and World Wide Web.

     

    Licensure:          n/a

     

    Vision:             Normal:  Consistent with standard workflow.

     

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, ancestry, military status, disability, genetic information and/or any other characteristics protected by applicable law.

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