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Senior Intake Authorization Coordinator

University Hospitals

20800 Harvard Avenue (Show on map)
Feb 14, 2025
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 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. Serves as subject matter expert of verifications/authorizations and knowledge of payor requirements. Assists with the training for new hires, on-going training for team members, and creating and maintaining training material for department. Acts as a liaison with internal and external customers providing assistance in denial resolutions; and as a resource to the team for expert knowledge and positive leadership model. Serves as subject matter expert in correcting billing errors in coordination with Revenue Cycle and Performance Improvement/Quality departments. Positive leadership model in encouraging Team based atmosphere. 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. Monday-Friday with rotating weekends and holidays. This will be the day shift where the start time is 8:00 AM. This position is in Home Care Services. This position will require working rotating weekends and holidays as needed by department volume. Exceeds team productivity and quality standards. Performs other duties as assigned. Will lead a team of 11-12. Mandatory onsite days are Wednesday and Friday.