layiq
worthy; deserving; fitting; suitable.
A role, opportunity, or path that merits attention, time, and pursuit.
Loading LAYIQ…Job opportunity
Anywhere in the U.S.; Remote CA Outside Bay Area
Source: Alignment Healthcare careers · View original posting
From Alignment Healthcare's posting. “We” and “our” refer to the employer.
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community.
Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
Alignment Health is seeking an organized, detail-oriented, and customer service-oriented remote UM Coordinator (inpatient) to join our UM team. This is a part-time weekend role that requires availability every Saturday and Sunday during Pacific Time hours. As an Inpatient UM Coordinator, you will assist with managing census and admissions, retrieving medical records, and supporting discharge planning while working closely with the Case Management (CM) Supervisor, Manager, and Director of Healthcare Services.
If you are hungry to learn and grow, want to be part of a growing organization, and make a positive impact in the lives of seniors, we're looking for you!
Candidates must be able to accommodate 4 hours of training each weekday within the 8:00 AM–5:00 PM Pacific Time training window before transitioning to the regular weekend schedule.
GENERAL DUTIES / RESPONSIBILITIES:
Assist team with daily census by entering face sheets for hospitals and skilled nursing facilities (SNF).
Obtain medical records from hospitals and SNF’s.
Attach medical records to authorizations.
Enter referral requests / authorizations in system using ICD 10 and CPT coding.
Monitor fax folders.
Complete and document tasks as assigned by nurse.
Maintain documentation on facilities contacted.
Assist with maintaining and updating member’s records.
Assist with mailing or faxing correspondence to facilities, related to, as needed.
Request medical records from facilities, etc., related to members activities, as needed.
Attend case management presentations and participates, as appropriate.
LAYIQ is an independent job-discovery service. This listing does not imply a partnership with or endorsement by the employer. Review the original posting for current details and availability.
Employer posted:
Recognize work-related problems and contributes to solutions.
Meet specific deadlines and respond to various workloads by assigning task priorities according to department policies, standards and needs.
Maintain confidentiality of information between and among health care professionals.
Be a positive team player.
Experience entering referrals and prior authorizations.
Medical assistant experience preferred
Knowledge working in Access Express / Portal, Epic preferred.
High school diploma or general education degree (GED) or (4) years' additional experience in lieu of education.
Medical Terminology Certificate preferred.
Required:
Proficient in Microsoft Office (Outlook, Excel, Word)
Able to type minimum 50 words-per-minute (WPM).
Organized and detail oriented.
File systematically.
Good interpersonal skills.
Strong written, verbal, and telephonic communication skills
Able to read, write, and speak English fluently.
Required: None
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. While performing the duties of this job, the employee is regularly required to talk or hear.
2. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
3. The employee frequently lifts and / or moves up to 10 pounds.
4. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $41,472.00 - $62,208.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the
Federal Trade Commission at https://reportfraud.ftc.gov/#/ . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com .
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