Job Details
With this position you would have the ability to work from home!! Shift: Monday-Friday 8:00 am - 4:30 pm Deliverables/ Principal Results Expected: - Perform admission, continued stay and discharge reviews on all managed care clients. - Maintain positive relationships with referral sources and insurance companies. - Track admissions, continued stay and discharge PCPC requirements for county referrals. - Maintain organized system of reporting to counselors when PCPC's are due and when review calls are to be made. - Maintain current insurance eligibility information through EVS, Navinet, etc. - Monitor Census for accuracy of funding. - Attend clinical staffing to obtain information for client reviews. - Maintain daily UR database accurately. - Perform Act 106 reviews and follow up appeals. - Track all county referrals for documentation of admission calls. - Maintain and participate in chart reviews to ensure proper paperwork is in place. - Work directly with Billing Department to reduce u...Coordinator, Remote, Technology, Healthcare, Insurance