Nursing
Provides various services supporting case management process. Responsibilities : Obtains and records authorizations for ancillary services and denial reporting. Facilitates, identifies and documents all referrals, along with patient choice, to appropriate facilities or agencies. Expedites discharges by transmitting appropriate documentation to providers for acceptance of patient. Documents all interactions with payers and communicates status with appropriate staff. Communicates status with case management staff and arranges for patient transfer. Functions as a key point of contact between case management staff, admissions and payers.
Education / Experience Required :
High School diploma or equivalency - 1 year of applicable cumulative job specific experience required. Note : Required professional licensure / certification can be used in lieu of education or experience, if applicable. Good Customer Service Skills. Knowledge of Medical Terminology required. Good Computer Skills required. This position does involve patient interaction.
Management Assistant • Novi, MI, US