Care Transition Assistant

Job Summary

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Core Responsibilities and Essential Functions

• Obtaining authorizations for placement and treatment in the insurance system
• Review patient's medical history and insurance coverage for approval
• Contact referring PAN/providers for additional information as needed
• Complete authorizations and referrals for services, which could include appointments and procedures
• Identify insurance documents in Trace system and route to appropriate department team member
• Distribute daily community availability survey
• Maintain accurate distribution list of community availability
• Assist with developing specialty service database
• Develop/maintain database of facility/MD NPI numbers
• Assist with other tasks to support Community Transitions Department as needed

Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education

GED Required or High school diploma Required or Associate's Degree Preferred

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s):

Required Minimum Experience:

Minimum 2 years Some experience in medical billing or insurance authorization Required Minimum 2 years Knowledge of medical terminology Required Minimum 2 years Basic computer skills Required Minimum 1 year Experience with payor portals preferred (Availity, NaviHealth, Carelon/MyNexus, EviCore) Preferred Less than 1 year One year in a healthcare setting Preferred

Required Minimum Skills:

Computer/data entry experience. High Ability to communicate with various members of the health care team. Ability to use EXCEL, Word and have basic computer operational knowledge. Epic EMR experience preferred. Attention to detail. Excellent communication skills. Ability to adapt to a rapidly changing environment/priorities.

Join us and discover the support to do more meaningful workand enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.