Award-winning: Sentara is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering more than 500 sites of care including 12 hospitals, PACE (Elder Care), home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!
When you join Sentara, you support our goal to provide excellence in patient care. No matter what your individual position, you are part of a bigger team committed to improving the future of healthcare. Each day here is another opportunity to learn, grow and become better at what you do.
Sentara Health Corporate Office is hiring an Inpatient Case Management Authorization Technician to work full-time/day shift.
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
Requirements:
Medical terminology knowledge and insurance/payor experience preferred. Strong written and verbal communication skills required.
keywords: case management technician, Monster, Medical Terminology, Denial Letters, Authorizations
Sentara 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.
