Patient Intake and Authorization Coordinator

About Centria Healthcare:

Founded in 2009 and headquartered in Farmington Hills, Michigan, Centria Healthcare is a leading provider of home-based catastrophic injury and rehabilitation care, private duty nursing, and supportive living services across the state of Michigan.  Centria coordinates among multiple disciplines for its rehabilitation services including physical therapy and occupational therapy.  Transcending beyond the role of traditional home healthcare providers, Centria has established itself as a market leader through its diverse expertise spanning from the rehabilitation of those who have experienced a Traumatic Brain Injury or Spinal Cord Injury to children dependent on technology.  Centria has developed the most comprehensive programs to care for individuals involved in the most serious accidents with potentially long-term complications relating to those accidents.

The Patient Intake and Authorization Coordinator position is responsible for managing the intake and start of care for patients who are referred to Centria. This includes obtaining and maintaining the authorizations and all required clinical documentation for the patient's records, completing quality analysis, monitoring clinical documents, and conducting benefits and eligibility checks on all patients. 

Success measures include adherence to Centria policies, flawless execution of tasks, and meeting or exceeding personal qualitative and quantitative key performance indicator (KPI) metrics.

The below reflects the essential functions considered necessary for this role and shall not be construed as a detailed description of all work requirements inherent in the job or assigned by supervisory personnel. This job description is used as a guide only and not inclusive of all responsibilities and job duties.

• Manage the intake and start of care for referrals.
  • Set up an electronic medical record profile.
  • Obtain all required clinical documentation.
  • Obtain authorization/script.
  • Coordinate with the Case Manager, Insurance, and Client Service Manager until services have started.
• Ensure all necessary documentation is uploaded to the patient's profile.
• Upload a copy of the patient's insurance card (front and back) into the patient's profile in an electronic medical record.
• Ensure scripts are uploaded to the patient profile.
• Download any nursing documentation that is received and split into the patient's files.
• Conduct benefits and eligibility checks on all patients.
• Obtain any authorizations needed for all patients and update authorization in patient's profile.
• Work with clinical to maintain updated authorizations for all clients. Submitting to appropriate insurance for all requests including, but not limited to, initial, increase/decrease, renewal, etc. Update new start date on the MSA form.
• Manage medical record requests and obtain updated scripts on an ongoing basis.
• Pull all authorizations from portal to upload to client's profile. Send email to appropriate parties with updated authorization.
• Complete monthly Intake Assessment.
• Send a discharge letter to appropriate parties when a patient is discharged.
• Update patient's status to discharged/hold when notified that a patient's status has changed.
• Complete ongoing quality analysis to review patient charts and provide direction/education as required.
• Call physicians/hospitals/case managers/other stakeholders as needed for maintenance of clinical records.

Managerial Responsibility

This role acts as an individual contributor with no direct reports.

Required Qualifications, Skills, and Knowledge:

Education/Licenses

• College degree or equivalent, minimum requirement
• Licensed Practical Nurse (LPN) preferred

Work Experience

• Working knowledge of Private Duty Nursing and Attendant Care
• Knowledge in obtaining authorizations

Equipment and Technology Requirements

• Basic computer skills
• Working knowledge of laptop/desktop PC
• Proficiency in Microsoft Suite
• Proficiency in G Suite

Other Competency Requirements

An initial assessment of competency will be completed during the interview period and evaluated on an ongoing basis.

• Ability to follow written instructions
• Ability to use computers and computer/software programs
• Ability to communicate expressively and receptively

Knowledge and Skills

• Proficient in Microsoft Office Suite, especially spreadsheet programs;
• Superb customer service and phone etiquette skills;
• Must be highly organized and possess strong analytical and overall personnel management skills;
• Ability to apply and adopt practices and techniques to the specifications set by senior leadership;
• Effective communication skills, both written and verbal, with internal and external stakeholders;
• Ability to build rapport with team members, explain complicated information in an approachable and easily understood manner, effectively handle challenging phone conversations, and represent the Centria brand;
• Ability to organize, prioritize and handle multiple tasks, adhere to established deadlines, and produce work that consistently meets or exceeds team benchmarks;
• Results-driven with the aptitude to apply critical thinking skills and problem-solving;
• Proven adaptability with a willingness to work both collaboratively and individually to achieve desired business outcomes;
• Excellent interpersonal, customer relationship, and listening skills;
• Demonstrated strong work ethic with attention to detail, accuracy, and quality;
• Established track record of generating error-free work.

Interpersonal Demands

• Interaction with others on the team (team members; team leader)
• Some interaction with other teams, internal and external stakeholders

Decision Making

Sometimes making decisions with prior approval from leader

Pay Range:  $48,000 - $55,000

Working Conditions:

Centria’s office hours are Monday through Friday from 8:30am-6:00pm. Additional time may be required to complete above work or meet company objectives.

Physical Requirements:

While performing the duties of this job, physical requirements such as bending, reaching, lifting, pushing, or pulling up to 30 pounds may be required. This role will require sitting most of the day as well as walking and standing periodically. This role may require close visual acuity on computer screens or monitors and the ability to analyze data and figures on a screen.

We are an equal opportunity employer and value diversity at our company.  We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, Veteran status, or disability status. This job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities, or working conditions associated with the position.  Centria reserves the right to amend this job description at any time, with or without written notice.