Compliance Coordinator - Home Care jobs in Peoria, IL

Unity Point at Home

Intake/ Home Care Coordinator

Peoria, IL

Monday-Friday 8AM-4:30PM

Full-Time, 40 Hours/ Week

Responsible for coordinating services for patient/customer with UnityPoint at Home; utilizing other members of the home care coordination team as necessary to coordinate services outside of the specialized service line.

Customer/patient focused

• Processes all incoming work orders, interviewing client/referral source to secure demographic and financial and qualifying data, and securing verification and authorization of benefits as appropriate.
• Specializes in one or more of the agency’s service lines, yet is responsible for having a basic knowledge of all service lines.
• Directs inquiries and referrals to the appropriate individual and/or service line. Coordinates incoming calls from both referral sources and patient/customers.

Communication- written and verbal

• Initiates and coordinates prior authorization requests to third party payers and maintains a working knowledge of third party payer guidelines. Follows up with third party payers as necessary.
• Operates computer system to record/document and retrieve information to ensure appropriate agency services are provided in a timely manner.
• Establishes and maintains positive working relationships with current and potential customers and referral sources.
• Builds and monitors community and customer/referral source expectations and perceptions of UPAH as a high quality provider of services; maintaining excellent customer service

Professionalism

• Assists other Intake/Home Care Coordinators as directed by the Intake/Home Care Coordination Manager.
• Maintains a working knowledge of relevant regulations affecting patients and the operation of our business.
• Performs patient follow up phone calls as directed by manager.
• On-call duties may be required on a rotation basis, weekend and holiday

Basic UPH Performance Criteria

• Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
• Demonstrates ability to meet business needs of department with regular, reliable attendance.
• Employee maintains current licenses and/or certifications required for the position.
• Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
• Completes all annual education and competency requirements within the calendar year.
• Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.

• One year of medical experience; preferably in community home health or home medical equipment.
• High-school degree - Associate degree preferred
• Completion of Coding courses are highly desirable.
• Has previous health care or home care related Intake/Coding and Customer Service experience.
• Above average data entry and communication skills.
• Knowledge of insurance requirements for pharmacy dispensing to include NDC codes and AWP rates.

Why UnityPoint Health?

• Culture – At UnityPoint Health, you Come for a fulfilling career and experience  a culture  guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
• Benefits – Our competitive  Total Rewards  program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.
• Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
• Development – We believe equipping you with support and  development opportunities  is an essential part of delivering a remarkable employment experience.
• Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

Visit us at UnityPoint.org/careers to hear more from our team members about why UnityPoint Health is a great place to work.  https://dayinthelife.unitypoint.org/ 

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