About Discovery Senior Living- VOTED BEST PLACE TO WORK- 3yrs running

Discovery Senior Living ranks prominently among the 5 largest senior housing providers in the US, and is nationally renowned for designing, developing, marketing, and operating a multi-brand portfolio of upscale, luxury senior-living communities.  With over 250 communities in nearly 40states, and 15,000 dedicated employees, Discovery Senior Living, with multiple national brands, is one the largest and fastest growing senior living companies in the United States. Recognized as a Great Place to Work, Discovery continues its rapid growth trajectory to lead the industry in providing desirable communities and exceptional lifestyle and value for our residents all while retaining our family-first culture. We’re a 30-year-old innovative company with a rich history of delivering exceptional service and quality care in desirable, enriching residential environments.

Discovery at Home is Medicare certified and has earned the Community Health Accreditation Program’s (CHAP) coveted accreditation.

BENEFITS:

• Great Competitive Rates
• Flexible Schedule
• Inclusive Benefit  Package
• Paid Life Insurance
• 401k with company match
• flexible spending accounts
• Free CEUs
• Growth Opportunities

Job Description Summary

Responsible for the daily operations of business line by delivering complete client satisfaction and the highest caliber of care service. The Intake /outpatient Coordinator is responsible for assisting in the admission process for outpatients. This includes establishing relationships with potential patients and/or their POA’s thoroughly explain insurance coverage and/or financial responsibility, accurately monitor provider's documentation signatures for compliance, and accurately maintaining medical records in appropriate EMR.

Essential Job Functions/Responsibilities

• Electronically contact providers for OPT therapy orders.
• Accurately track OPT documents for signatures and compliance.
• Notify DOR when documents exceed 30-day compliance regulations.
• Accurately creates, sends, and monitors delayed certifications for compliance regulations.
• Contacts patients and/or POA for verbal consent of OPT therapy and accurately reviews insurance eligibility and financial responsibility.
• Accurately completes OPT consents and transmits to POA or evaluating clinician for signature.
• Effectively track and monitor completion of consents and correctly updates medical records in appropriate EMR.
• Proficiency in multiple EMR systems and Microsoft applications.
• Communicate effectively with field clinicians for information gathering purposes.
• Responsible for ordering DME for patients as per clinician recommendation by obtaining MD order and appropriate documentation for submission to provider.
• Acts as a liaison between DOR and patients/families by effectively addressing questions and/or concerns.
• Work with Community Liaison and Rehab Coordinator to ensure all required referral documents are expedited for valid referral.
• Confers with the DOR as to the preliminary eligibility for services.
• Participates in company quality improvement activities.
• Understands and adheres to established policies and procedures of agency, as well as compliance to local state and federal laws.
• Filing all elements of patient records and monitoring date on all signed documents to ensure accuracy and completion in a timely basis.
• Maintaining adequate supply of patient clinical record elements and stock of premade clinical records available for clinicians.
• Answers telephone lines promptly, efficiently and channel them appropriately.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Position Qualifications

• High school diploma or equivalent required
• Excellent working knowledge of primary home health diagnosis, related interventions, and care protocols.
• Demonstratable working knowledge of Medicare and non-Medicare reimbursement requirements including eligibility for service. Managed care and VA pre-authorization processes and Medicare/managed care outpatient therapy services requirements.
• Demonstrates good communication and public relations skills.
• Passionate for delivering a world class customer experience.
• Must be able to travel if indicated for training and/or Discovery Communities/Properties.
• Proficient in Microsoft Office applications.
• Basic knowledge of OPT therapy processes and CMS guidelines.

JOB CODE: 1004054