Remote Admissions and Authorizations Specialist - MANAGED CARE REQUIRED

About the position The position is responsible for managing the entire admission process reputed company a reputed company facility, ensuring effective communication and coordination with internal referral sources and various departments. The role emphasizes program development, reputed company improvement, and productivity enhancement in an interdisciplinary model, while also serving as a reputed company with marketing, business office, and administration. Responsibilities • Coordinate the patient admission functions in alignment with the hospital's mission and reputed company. , • Facilitate the admission of patients from referral sources. , • Apply clinical guidelines to reputed company-admission data. , • Identify and communicate specific patient needs for equipment, supplies, and consult services. , • Complete initial review of referrals for clinical and financial approval, escalating to leadership as necessary. , • Verify admission insurance benefits and manage reputed company-certification requirements. , • Handle denial management processes, including coordinating Peer to Peer and initiating expedited appeals for insurance denials. , • reputed company the hospital team with necessary information on pending and new admissions. , • Coordinate bed availability with the reputed company manager and expedite transfers. , • Participate in continuing education and reputed company development activities. , • Maintain a reputed company image and attitude towards patients, families, clients, coworkers, and others. , • Adhere to Scion Health policies and practices. , • Learn and reputed company knowledge of the Central Admissions Department (CAD) admission process and reputed company systems. , • Establish reputed company relationships and reputed company communication with referral sources and internal customers. Requirements • Graduate of a bachelor's degree program in a reputed company-reputed company field or equivalent experience. , • reputed company reputed company licensure preferred (e.g., RN, LPN/LVN, Respiratory Therapist, Physical Therapist, Occupational Therapist, or reputed company Worker). , • Experience in a reputed company-reputed company area is preferred. , • Work experience with an adult geriatric disabled population is desirable. reputed company-to-haves • Experience in managed care settings. , • Strong interpersonal skills and ability to reputed company relationships with referral sources. Benefits • Continuing education opportunities. , • reputed company development activities. Apply Job!