Lake Health Mentor , OH 44060
Are you interested in becoming part of an outstanding team of professionals who make patient and family-centered care their priority? We currently have the following opportunity for an energetic, skilled, and compassionate individual like you to become part of the Lake Health team.
The Insurance Coordinator is responsible to the Director of Lake Health Home Care Services and its clients for performing insurance authorizations and appeals processes in accordance with criteria set forth by payers and clinicians.
Essential Job Functions:
Provides information to insurance companies in order to obtain insurance authorizations for home care services.
Provides assistance related to insurance issues/requirements to team members, physicians, and other clients to assist with smooth transition into home care.
Manages concurrent and retrospective home care denials including review and submission of requested documentation and educates staff on documentation concerns.
Coordinates activities related to CMS Additional Developmental Requests and regulatory requests for clinical records and submits within required timeframes.
Demonstrates consistent knowledge of information system procedures in order to accurately and efficiently perform standard work related to processing patients within the home health IT system.
Adheres to Lake Health and Home Care policies and procedures, mission, vision and values, along with ability to adapt to changes in the health care environment.
Other duties as assigned, including assisting co-workers as needed
Education and Experience: High School Diploma/GED or equivalent work experience required.
BLS Certification required. Graduate of an accredited school of Practical Nursing. Valid registration as an LPN in the State of Ohio. Minimum of three year experience as an LPN in a clinical setting.
Lake Health offers free, secure and convenient parking; an aggressive pay structure, tuition reimbursement and continuing education funding programs, a generous and comprehensive benefits package for all eligible positions which includes medical, dental, vision, pension, paid time off; an award winning hospital system recognized for excellence in patient care and as a "Best Place to Work." Apply on-line today at http://www.lakehealth.org/Careers
Key Words: Home Health, LPN, Insurance
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled