Job description
Overview:
Hospice accepts and directs requests for health care services. This position facilitates patient or client requests for hospice services within and outside the agency.
Responsibilities:
- Reviews admissions daily by insurance provider to determine authorization requirements. Submits and follows up on all authorization requests in a timely manner.
- Communicates with Caris offices regarding authorization status and required documentation.
- Completes authorization appeals for denials.
- Completes all EMR workflow related to insurance authorizations and documents authorization findings in medical record.
- Stays current on all services offered by the company.
- Assists in maintaining an efficient operation of the Referral Center.
- Assists in coordinating and facilitating ongoing training for product knowledge, telephone techniques and sales application.
- Prepares specific reports and communicates on a regular basis with immediate supervisor and appropriate personnel.
- Cheerfully and promptly handles inquiries or referrals for service(s) in a timely manner.
- Promptly identifies the caller’s needs and takes proper action to see that those needs are handled in a friendly and professional manner.
- Handles sensitive issues in a professional manner, is able to diffuse potential problems that may arise between patients, clients or employees.
- Assists in maintaining efficient, accurate records regarding any and all pertinent information for insurance verification. Assists in maintaining a clean and productive work environment.
- Stays informed of new health care developments and trends for all departments by reading product specific periodicals, attending meetings and communicating with individual department heads.
- Participates in the performance improvement (PI) quality assurance program.
- A high school graduate or the equivalent preferred.
- ust be experienced with PC's and be familiar with common office software such as word processing and spreadsheets, etc.
- Must be well organized and detail oriented.
- Overnight travel may be required.
- Must be able to communicate clearly and comprehend written and verbal communications.
- Must be able to function efficiently in a stressful work environment.
jackharris.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jackharris.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jackharris.com is the ideal place to find your next job.