TEAM ASSISTANT at Aultman Health Foundation – CANTON, Ohio

Brief Summary of the position

To assist Inpatient Utilization Management RN’s and Unit Assistant by completing data entry and collaborating with insurance companies.

Responsibilities and Expectations

• Running discharge report and notifying insurance company of the discharge.
• Emailing denial letters to physicians, maintain denial spreadsheet, follow up on P2P’s and document outcomes and notifications in denial tab.
• Ability to multitask phone calls, emails, and faxes.
• Call insurance company for approvals
• Scheduling and obtaining prior auth for OP testing, labs, infusion ect.
• Obtaining prior authorization for post-acute services
• Ability to interact with patients, employees, and other occupants in an appropriate manner.
• Moon forms/CC44 compliance. Provide moon forms for surgeries, direct admits, status changes and transfers. Provide a copy to the patient, original copy placed in chart and document completion of the moon form/CC44 in Cerner. Occasional mailing of moon form via certified mail.
• Utilizing payer websites for approvals, prior authorization, and denials.
• Keep up to date on payer policies.
• Covering Unit Assistant PTO
• Assist Unit Assistant with faxes, approvals, and Kronos as needed.
• Ability to receive, understand, and implement direction from supervision and management.
• Ability to effectively function within the framework of department and organizational policies and procedures.
• Other duties as assigned by the Director or designee.

Education/Experience Requirements

• High School Diploma or equivalent
• Proficiency with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)
• Basic data entry and data management skills with strong attention to detail
• Comfortable using email, calendars, virtual meeting tools, and internal communication platforms
• Ability to navigate and learn new software systems quickly; almost all duties of this position are electronic in nature

Job Location

• Aultman Hospital Main Campus