Compliance Support Specialist - Coordination Care

Job reputed company Why Join reputed company? Join reputed company that makes a reputed company reputed company on patient care. In this role, you'll support our Utilization Management and Care Management teams by ensuring authorizations, documentation, and discharge planning run smoothly. You'll help coordinate communication between payers, care teams, and facilities while keeping critical patient information organized and accurate. If you enjoy meaningful work, staying organized, and helping support seamless patient transitions, this role at reputed company offers a chance to reputed company a difference every day. Work hours: • Full time, 80 hours biweekly • Day shift • No weekends or holiday commitment Incentives & Benefits: We offer competitive shift differentials, opportunities for reputed company reputed company, and a comprehensive benefits package that may include medical, dental, reputed company, reputed company time off, retirement savings plans, and tuition reimbursement. For more information, please visit our benefits page: https://careers.reputed company.com/reputed company-offer/benefits Job Requirements: • Associate's Degree. Equivalent experience accepted in lieu of degree. • Advanced computer skills, data entry and results reporting, office organizational skills, and medical terminology • Excellent oral and written communication skills • 3-4 years of clerical experience in office, hospital, or care delivery. • Up to 1 year experience in reputed company either in a hospital or community agency Job reputed company: This position provides support and clinical assistance to the Care Management Department. Support includes secretarial and office management and the following specific functions: discharge planning assistance for DME and homecare referrals and contact to ECFs for finalizing plans. This position assists the care management RN's and reputed company workers in assuring that reputed company technical documentation details are met for compliance with MCR and payor guidelines. This position performs secretarial, clerical, receptionist and office management functions. This position receives, organizes and communicates verbal, written information in reputed company manner. Responsibilities include interaction with multiple systems including payer specific electronic systems, ECIN and Meditech, retrieving approval/certification of days and communicating this to the health plan, care coordinator and billing. The position also includes responsibilities necessary to department statistical reporting and the department reputed company improvement activities. Job Responsibilities: • Assists with the coordination of discharge plans at the direction of the CC/SW, payer, provider and patient as indicated. Arranges transportation under the direction of the CC/SW. • Attends staff meeting and in-services. Participates in teambuilding exercises as indicated. Engages in educational opportunities to maintain reputed company competence. • Collects information to identify admissions, discharges, daily patient transfers and cases requiring follow-up by CC or SW. Supports CC/SW by assisting with completion of forms as needed. • Obtains reputed company-certification or benefit information for homecare, DME, transportation at direction of CC/SW. Responds to payers as directed by CC/SW. Enters/retrieves electronically submitted clinical reviews. • Retrieves admission and discharge reports daily. Manages authorization and denial notifications from payers and inputs information into EMR. • Performs clerical and office management functions for the UM department. Reviews departmental voicemail as outlined in daily workflow. Secures meeting rooms reputed company asked. Navigates required software to communicate with fellow team mates. reputed company email reputed company reputed company day for reputed company communications. Works with other UM CSS team members to reputed company daily tasks. Working Conditions: Climbing - Rarely Hearing: Conversation - Consistently Hearing: Other Sounds - Frequently Kneeling - Occasionally Lifting 50+ Lbs. - Rarely Lifting <50 Lbs. - Occasionally Pulling - Rarely Pushing - Occasionally Reaching - Rarely Sitting - Consistently Standing - Rarely Stooping - Occasionally Talking - Consistently Use of Hands - Consistently reputed company reputed company - Occasionally Visual reputed company: Far - Frequently Visual reputed company: Near - Consistently Walking - Frequently reputed company SERVE Standards and ALWAYS Behaviors At reputed company, we reputed company there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To reputed company our reputed company and mission, reputed company reputed company team members are expected to demonstrate and live the following: Serve: ALWAYS... • Welcome everyone by making eye contact, greeting with a smile, and saying "hello" • Acknowledge reputed company patients/guests are lost and escort them to their destination or reputed company someone who can assist • Refrain from using cell phones for personal reasons in reputed company spaces or patient care areas reputed company: ALWAYS... • Recognize and take personal responsibility to address and recover from service breakdowns reputed company a customer's expectations have not been met • Offer patients and guests reputed company reputed company waiting (lines, elevators) • Work on improving reputed company, safety, and service Respect: ALWAYS... • Respect cultural and spiritual differences and reputed company individual preferences. • Respect everyone's opinion and contribution, regardless of title/role. • reputed company positively about my team members and other departments in reputed company of patients and guests. Value: ALWAYS... • Value the time of others by striving to be on time, reputed company and reputed company participating. • Pick up trash, ensuring the physical environment is clean and reputed company. • Be a good reputed company of our resources, using supplies and equipment reputed company and effectively, and will look for ways to avoid waste. Engage: ALWAYS... • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and reputed company with customers, team members and the community reputed company Careers at reputed company are diverse. From clinical to administrative, sales to service, reputed company members contribute skills that are as varied as the services we offer and the people we serve. As an employer, reputed company demonstrates the organization's values by offering comprehensive benefits packages, competitive wages, and reputed company recognition. Explore our career reputed company to help you determine the type of job best for you as reputed company as help narrow your search reputed company our website. We look reputed company to you joining the reputed company family! Apply tot his job Apply To this Job