PRN Post-Acute Patient Access Specialist - Pre-Cert
Company: ProMedica Senior Care
Location: Commerce City
Posted on: June 25, 2022
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Job Description:
DescriptionProMedica Senior Care provides a range of services,
including skilled nursing care, assisted living, post-acute medical
and rehabilitation care, hospice care, home health care and
rehabilitation therapy.Job SummaryThe PRN Post-Acute Patient Access
Specialist - Pre-Cert role is responsible ffor managing/obtaining
Managed Care authorization from key hospitals and other care
settings (sites to be determined as part of the division market
strategy) and ensuring a smooth transition of care for patients
discharging from a care setting to our centers. Additionally, the
Post-Acute Patient Access Specialist - Precert will develop a
strong relationship with the key Managed Care or Third Party
Administrator personnel and identify new opportunities for
partnering and growth.Responsibilities:Processes inquiries received
via referral management system, at a minimum rate of 5-15 inquiries
per day, with an average response time rate of 15 minutes or less
from the time the precert specialist assigned.Manages referrals in
conjunction with the MCO/TPA to ensure approval for admissions are
received timely.Makes IMPACT business calls to Managed Care
Organizations to better understand their work flow to secure
authorization timely, gain in-sight into their expectation of SNF
criteria, and to understand program and service needs; in order to
effectively communicates those needs with ProMedica Senior Care
leadership.Develops relationships by completing integration calls
to precert personnel, utilization review personnel, MCO/TPA
supervisors, and other professionals and related contacts at the
MCO/TPA leading to an efficient and consistent process processing
authorizations. In return for your expertise, you'll enjoy
excellent training and unlimited opportunities to learn and grow.
Be a part of the team leading the nation in healthcare.Location374
- ProMedica Skilled Nursing and Rehabilitation - Denver,
COEducational RequirementsBachelor degree preferred; Sales and
medical training, required.Position RequirementsTwo years of
experience with sales and marketing knowledge, required; Strong
medical assessment skills; Prior experience with an insurance
company, private case management company, or HMO, preferred.
Familiarity with long term care and/or subacute care, useful.
Strong oral and written communications skills.
Keywords: ProMedica Senior Care, Commerce City , PRN Post-Acute Patient Access Specialist - Pre-Cert, Other , Commerce City, Colorado
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