Bachelor of Arts/Bachelor of Science
5 Years of Experience Required
The primary role is to coordinate the Utilization Management and Financial Counselors activities to insure a payor source is identified prior to or within 24 hours of an admission. The role includes ensuring accuracy of financial information and clinical information is communicated to the appropriate payors to insure all services provided are reimbursed.
Bachelor’s Degree in business, health care administration or other related field or equivalent combination of education and related work experience.
Five years in Healthcare management with a minimum of two years supervisory experience preferably in a hospital setting, preferably Utilization Management, Financial Counseling or related field.
In-depth knowledge of the current insurance world, preferably as it relates to Hospital Admissions. This should include extensive understanding of MediCal, California Children’s Services, Managed Care, MediCal Managed Care and other payor classifications. A strong self starter with the ability to prioritize in a fast pasted environment. Excellent Medical terminology. Typing, 50 wpm.
Sit: Up to 8 hours/day
Stand/Walk: 3-6 hours
Bend/Stoop: Up to 3 hours
Reach: Up to 3 hours
Rep Use of UE/Grasp: Up to 8 hrs
Lift/Push/Pull: 15 lbs
This job requires the ability to hear alarms clients and/or instruction. The ability to see accurately from 20 inches to 20-ft. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of this position.