Inpatient Case Management Authorization Technician

City/State

Work Shift

Overview:

Sentara Health Corporate Office is hiring an Inpatient Case Management Authorization Technician to work full-time/day shift.

Requirements:

Medical terminology knowledge and insurance/payor experience preferred.  Strong written and verbal communication skills required.

The Inpatient Case Management Authorization Technician provides assistance to the Inpatient Case Management team under the direction of the ICM RN/MSW, or other team member to coordinate referrals for the purpose of expediting care.

• Delivers compliance documents or other patient documents

• Acts as an extension of the ICM RN/MSW, or AA to facilitate referrals, calls for the purpose of expediting patient care to include pre-authorizations when appropriate.

• Delivers Durable Medical Equipment to the patient or caregiver under the direction of the ICM RN/MSW, or AA

• Facilitates data entry, patient signature, and processing of LTSS screenings

• Contacts insurance companies to identify in-network agencies to support patient post-acute needs

• Gathers, takes action on, and maintains Case Management documentation such as referrals, admissions, orders, and schedules.

• Participate Gathers Quality Improvement (QI) and department Performance Improvement (PI) data.

• Provides administrative back-up and main office support as requested

keywords: case management technician, Medical Terminology, Denial Letters, Authorizations

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work,Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.