OverviewAt Diversicare, we're more than just a company – we're a passionate community dedicated to excellence. If you're driven by a desire to make a difference in the lives of patients and residents, then we invite you to be part of our extraordinary team.Why Choose Diversicare:
Compassion-Driven Culture: At Diversicare, we value trust, respect, customer focus, compassion, diplomacy, appreciation, and strong communication skills. We're committed to creating a warm, caring, safe, and professional environment for both our customers and our team.
Competitive Benefits: We offer a comprehensive benefits package that includes medical/dental/vision coverage, an excellent 401k plan, tuition reimbursement, vacation, holiday, and sick time, long and short-term disability, and much more.
Room for Growth: Join a dynamic environment where you can grow in your career and make a lasting impact on the healthcare industry.
Meaningful Mission: Our mission is to "Improve every life we touch by providing exceptional healthcare and exceeding expectations." A mission we truly live and breathe.
Core Values: We are guided by five core values - Integrity, Excellence, Compassion, Teamwork, and Stewardship, as well as 12 Service Standards.
Ready to be a part of our compassionate team? Apply now and help us make a difference in the lives of our patients and residents. Join Diversicare Healthcare Services today!Responsibilities
Pre-Certification & Authorizations: This Position requires multi-tasking to insure patient and resident primary managed care benefits are verified and authorizations received at the highest level of reimbursement and as quickly as possible for admission
Demonstrates thorough knowledge of Medicare regulations and Managed Care Contracts.
Demonstrates thorough knowledge of all facility insurance contracts including levels of care and corresponding rates, included and excluded services and any service exceptions.
Central Intake Coordinator will be responsible for processing skilled nursing referrals to include insurance verifications, cost analysis when applicable.
Communicate with the insurance case managers to obtain authorization for correct level of care according to the patients’ needs under the reimbursement guidelines provided by patient's benefits and current managed care contract.
Ensure highest level of customer service to the managed care plan and internal customers.
Communicate benefit and authorization information to the Center teams quickly and consistently
Provide effective timely communication to insurance plans to facilitate best possible functional outcome with resources available within the patients benefit structure.
Adhere to departmental goals, objectives, standards of performance, and policies and procedures
Demonstrates the ability to carry out assignments independently, work form procedures, and exercise good judgment
Demonstrates the ability to maintain the confidentiality of all records
Demonstrated ability to manage multiple tasks and demands given tight time constraints while ensuring a high degree of accuracy and attention to detail
Other duties as assigned
Qualifications
Associate degree in healthcare related field preferred
One or more years of medical billing or insurance verification experience.
Experience with payers and prior authorization requirements.
Skilled Nursing Facility and LTC experience preferred.
Strong customer service skills
Diversicare is committed to being an equal opportunity employer. Diversicare does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex (including gender identity), national origin, age, or disability, sexual orientation, citizenship, marital status, veteran status, genetic information, or any other characteristic protected by law.(EOE)Type Regular Full-TimeLocation Name Diversicare Support Center(BSC)Address 1621 Galleria BlvdLocation US-TN-BrentwoodAdditional Posting Locations US-AL-Huntsville | US-AL-Birmingham | US-TX-Houston | US-MS-Jackson
