Summary Job Summary
Performs a variety of administrative and clerical duties in support of the Case Management department.
Job Responsibilities
- Provides administrative support in the Case Management department including answering/routing telephone calls/messages/emails, mail sorting, and scanning.
- Collaborates and communicates with nurses, social workers, physicians, revenue cycle, and outside vendors.
- Obtains insurance authorizations and denials for hospitalization and documents required information in the EMR as assigned.
- Communicates insurance clinical requirements to the utilization review (UR) nurse and documents in the EMR as assigned.
- Maintains assigned worques and calendars.
- May provide assistance to discharge planning with non-complex discharges.
- Assists with and prepares for onboarding of new team members.
- Assists with evaluating the office environment, revising procedures, improving efficiency of workflow, and initiating cost reduction programs
- May produce and maintain various statistical and financial reports, audits, and other department operational reports; Maintain the Community Benefit Tracker.
- May perform duties of purchasing agent for the department through requisition entry, equipment inventory, and record keeping in accordance with budget guidelines.
- May schedule and coordinate meetings and in-services.
- May assist with meeting agenda coordination, creation, meeting audio-visual set up, power-point presentations, and transcribing of meeting minutes.
- May assist with monitoring of department budget and contracts, regulatory compliance, and vendor relations.
Qualifications
- High school diploma, General Equivalency Diploma (GED) or higher required upon hire
- A minimum of 5 years' relevant experience required
- No licensure/certification/registration required
Skills and Attributes
- Requires critical thinking skills and decisive judgment.
- Works under minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
- Requires in-depth skills and knowledge of the specialized concepts, practices, and procedures in the area of specialization.
- Utilizes in-depth knowledge of the specialization as well as business needs to recommend appropriate action.
Physical Demands
- Standing: Occasionally
- Walking: Occasionally
- Sitting: Frequently
- Lifting 0-25 lbs: Rarely
- Lifting 25-75 lbs: Never
- Lifting over 75 lbs: Never
- Carrying 0-25 lbs: Rarely
- Carrying 25-75 lbs: Never
- Carrying over 75 lbs: Never
- Pushing/Pulling 0-25 lbs: Rarely
- Pushing/Pulling 25-75 lbs: Never
- Pushing/Pulling over 75 lbs: Never
- Climbing: Rarely
- Bending/Stooping: Rarely
- Kneeling: Rarely
- Crouching/Crawling: Rarely
- Reaching: Occasionally
- Talking: Frequently
- Hearing: Occasionally
- Repetitive Foot/Leg Movements: Never
- Repetitive Hand/Arm Movements: Frequently
- Keyboard Data Entry: Frequently
- Running: Never
- Vision: Depth Perception: Frequently
- Vision: Distinguish Color: Frequently
- Vision: Seeing Far: Frequently
- Vision: Seeing Near: Frequently
Owensboro Health Core Commitments
INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.
RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.
TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.
INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.