City/State
Virginia Beach VAWork Shift
First (Days)Overview:
Requirements:
Medical terminology knowledge and insurance/payor experience preferred. Strong written and verbal communication skills required.
The Inpatient Case Management Authorization Technician provides assistance to the Inpatient Case Management team under the direction of the ICM RN/MSW or other team member to coordinate referrals for the purpose of expediting care.
Delivers compliance documents or other patient documents
Acts as an extension of the ICM RN/MSW or AA to facilitate referrals calls for the purpose of expediting patient care to include pre-authorizations when appropriate.
Delivers Durable Medical Equipment to the patient or caregiver under the direction of the ICM RN/MSW or AA
Facilitates data entry patient signature and processing of LTSS screenings
Contacts insurance companies to identify in-network agencies to support patient post-acute needs
Gathers takes action on and maintains Case Management documentation such as referrals admissions orders and schedules.
Participate Gathers Quality Improvement (QI) and department Performance Improvement (PI) data.
Provides administrative back-up and main office support as requested
keywords: case management technician Medical Terminology Denial Letters Authorizations
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
IC
Sentara Health, is an integrated, not-for-profit health care delivery system in Virginia and North Carolina. Sentara improves health everyday.