The Visiting Nurse Association of Erie County, a part of the LECOM Institute for Successful Living, is accepting applications and resume submissions for a Full Time Authorizations Coordinator.

SUMMARY:

• The Authorization Coordinator is responsible for the insurance and authorization management. Will also provide backup coverage for the Intake Department.
• Will report to any facility within the LECOM Institute for Successful Living as assigned;
• Greets people as they call into the Agency, answers general information questions and delivers messages;
• Obtaining and maintaining approval from insurance beyond the initial authorization;
• Follow up on approved authorizations versus utilizations;
• Communication with field staff regarding visit and approved authorizations;
• Communication with billing and financial department as needed;
• Types memos, correspondence, agendas, reports as required;
• Scans and electronically files patient admission information;
• Photocopying as required;
• Monitors faxes, forwards to the appropriate people and puts pertinent information received into the patient chart;
• Develops and implements a tracking system to assure organization and timely submission of required authorizations per patient episode;
• Maintains communication with the direct supervisor to overcome barriers for job completion;
• Familiarize self with McKesson and other insurance support modalities to obtain authorizations, communication with insurances, and data tracking;
• Act as needed as an Intake Associate and assist in the coordination of patient care (associated intake duties below);
• Receives all intake information for paraprofessional cases and enters the appropriate information in the computer;
• Completes intake forms and routes them appropriately for admission approval;
• Receives referral information from Liaison team and passes the referral information to the appropriate staff as soon as possible;
• Enter referrals the day they are received into Referral Manager;
• Updates referral board prior to A.M. and P.M. meetings;
• Places calls to physicians to confirm who will sign orders (document in chart);
• Places calls to patients to discuss admission and be alerted if patient has an appointment or refuses services;
• Enter all information relevant for the team to complete admission;
• Update referral with any changes prior to admission;
• Confirm F2F date for physician referrals and enter into case communication note;
• Enter ROC orders, scheduling note, and ROC case communication note and send to appropriate team member;
• Check insurance for authorization at time of referral. Enter a case communication note into McKesson;
• Obtain authorization according to insurance requirements within time constraints. Enter insurance communication notes with visit authorizations obtained and send to team members;
• Monitor authorizations for completion and need for continued authorization requests;
• Follow up authorization process within 24 hours of receiving notification that forms are complete;
• Maintain an accurate, timely and daily authorization process and corresponding log to track progress;
• Must be able to take direction and receive assignments from direct supervisor and other management personnel from time to time; and
• Accept other duties needed/assigned for the Institution’s needs.

MINIMUM QUALIFICATIONS:
Education and experience equivalent to:

• High school education
• Minimum of six months office experience
• Must possess typing and other clerical skills

BENEFITS:

LECOM’s full time employees enjoy the availability of an industry leading benefits package including:

• Highmark BC/BS Medical Insurance with employee-only coverage costing only $55/ month!
• Full Family Medical Insurance is only $270/month!
• Employees with LECOM Medical Insurance can take advantage of waived co-pays and deductibles at LECOM physicians and Millcreek Community Hospital.
• 403(b) Retirement Plan with Employer Matching of 100% after completing one year of service!
• Paid time off accruals – vacation and sick
• 6 paid holidays each year
• Life Insurance and AD&D Insurance is provided to all Full Time employees at no cost!
• Employee referral program
• Employee appreciation/recognition events
• Employee assistance program and discounted membership at the LECOM Fitness and Wellness Center
• Up to $200/month childcare credit.

The LECOM Institute for Successful Living is an equal opportunity employer.