Case Mgt Authorization Spec IP
Description
REQUIREMENT:
- Follows developed policies and procedures to obtain insurance eligibility and benefits by identifying correct insurance plan and determining coordination of benefits with minimal guidance.
- Responsible for informing the care team and financial counseling of any discrepancies identified related to coordination of benefits and/or coverage as it relates to ineligible coverage, non-covered services or out of network status.
- The Case Management Authorization Specialist functions with minimal oversight and guidance with a general understanding of payor requirements as it relates to insurance verification, notification, and authorization.
- Case Management Specialist may specialize in certain payors but overall a generalist within the department.
- Facilitates referral process, as directed, for securing post-acute care services which can include: Home health, Durable Medical Equipment, Rehab, Hospice, Long Term Care.
- Collaborate with insurance case managers to initiate/request authorizations for post-acute care.
- Ensures regulatory requirements are met as it relates to the MOON and IMM.
MINIMUM REQUIREMENTS:
- High school education diploma or equivalent. College degree preferred.
- At least two years of experience in a healthcare setting is required.
- Two (2) years of insurance verification, authorization, or related work preferred.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.
Average salary estimate
If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.
Join Emory Healthcare as an Oncology Registered Nurse, where professionalism meets compassion in patient care.
Join Emory Healthcare as an Ophthalmic Photographer II and contribute to impactful diagnostic imaging in ophthalmology.
Join Thomas Memorial Hospital as a Registered Nurse, providing essential patient care while collaborating with healthcare professionals.
Join Truist Financial as a Universal Banker, delivering personalized banking solutions and exceptional client service.
Join our team as an Affordable Housing Compliance Specialist, where your expertise will help ensure compliance with housing regulations and support the mission of our organization.
Become a Customer Success Advocate at 1-800 Contacts, a leader in simplifying vision care access, where your problem-solving skills will shine in a supportive environment.
Join Abercrombie & Fitch Co. as an Assistant Manager, where you can shape the customer experience and lead a dedicated team in retail operations.
Join Sphirea Plus as a Data Entry Customer Service professional dedicated to delivering exceptional client care in a dynamic environment.
Join Mixlab as a Per Diem Pharmacist and be an essential part of our veterinary pharmacy team in Texas.
Join Allied Universal as a Front Desk Security Professional in Detroit, dedicated to creating a welcoming and secure environment in an educational setting.
Join Atlan as an Enterprise Customer Success Manager to guide top companies toward data-driven success in a fully remote role.
Join ServiceNow as a Senior Technical Support Engineer to enhance customer experiences through AI-driven solutions.
Join Boyd Gaming Corporation as a Food Server and play a key role in delivering exceptional dining experiences at our sports bar.
Join BAPI as a Seasonal Administrative/Support Assistant to streamline operations and support various departments effectively.
Become a pivotal force in client success at OrderMyGear as a Client Experience Specialist, driving engagement and support post-sale.
Mission: Improving the health of individuals and communities at home and throughout the world. Vision: Be the leading academic health science center in transforming health and healing through education, discovery, prevention and care. Values: ...
608 jobsSubscribe to Rise newsletter
🔮
Hi, I'm Risa! Your AI Career Copilot
you, just ask me below!
