CENTRAL ELIGIBILITY AND AUTHORIZATION TEAM COORDINATOR

About the role

The Central Eligibility Authorization Team Coordinator is responsible for the data integrity of all admission, discharge, transfer and authorizations, as well as, maintaining authorization updates in all service lines in states who are live with CEAT. The CEAT Coordinator interacts with each of business line operations throughout these states and ensures accuracy of data in order for clean claims to be realized.

Responsibilities

• Manages pending admissions, new admissions, and outstanding items
• Follows documentation standards set by Central Eligibility Authorization Team Leadership team and assists management in implementing those standards
• Creates accurate and timely documentation as needed for Central Eligibility Authorization Team processes and authorizations
• Manages room and board agreements
• Trains new employees on internal and external systems
• Reviews Central Eligibility Authorization Team playbook and documented processes to ensure it is accurate and up to date
• Verifies insurance eligibility and authorizations, provides operations with client information and potential issues
• Facilitates root cause analysis and recommendations for resolution
• Reviews weekly Revenue Cycle Reports
• Sets priorities and triages tasks including but not limited to service desk tickets, problems, and special projects as assigned by leadership
• Develops and presents topics at Monthly Team Meeting
• Reviews and prepares objective documentation for quarterly/annual Coordinator evaluations
• Other duties as assigned

Qualifications

• A high school diploma or equivalent required
• Some college and/or work experience preferred
• Proven experience with conflict resolution
• Excellent communication skills both verbal and written
• Experience and ability using Microsoft Office Suite
• Knowledge of government and commercial payer requirements
• Ability to demonstrate our company Legacy standards
• Strong attention to detail and accuracy
• Strong time management skills and ability to meet set deadlines
• Able to multi-task and show flexibility as daily priorities arise and change
• Minimum travel required

About Our Line of Business

BrightSpring Health Services provides complementary home- and community-based health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs.

Additional Job Information

• Excellent computer skills, proficient in Microsoft Excel and Word
• An understanding of the issues related to the delivery Brightspring Health service offerings
• Able to solve problems, use critical thinking skills and identify process improvement opportunities
• Detail oriented
• Must be a team player