Alignment Health was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time.

By becoming a part of the Alignment Health team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community.

Position Summary:

The UM Inpatient Coordinator is responsible for Inpatient Coordinator functions as defined below:

General Duties/Responsibilities:

(May include but are not limited to)

• Assist team with Daily census by entering Face sheets for hospitals and SNF’s
• Obtain medical records from hospitals and SNF’s
• Attach medical records to authorizations
• Enter referral requests/authorizations in system using ICD 10 and CPT coding
• Monitor Fax Folders
• Complies with tasks assigned by nurse and, as appropriate, documents accordingly.
• Maintains documentation on facilities contacted.
• Assists with maintaining and updating member’s records
• Assists with mailing or faxing correspondence to facilities, related to, as needed.
• Requests medical records from facilities, etc., related to members activities, as needed.
• Attends Case Management presentations and participates, as appropriate.
• Recognizes work-related problems and contributes to solutions.
• Meets specific deadlines (responds to various workloads by assigning task priorities according to department policies, standards and needs).
• Maintains confidentiality of information between and among health care professionals.
• Other duties as assigned by CM Supervisor, Manager or Director of Healthcare Services.

Minimum Education and/or Experience:

• High school diploma or general education degree (GED); with one to three months related experience and/or training; or equivalent combination of education and experience. No licensure required.
• Knowledge of ICD10 and CPT codes
• Knowledge of Managed Care Plans and medical terminology
• Experience entering referrals and prior authorizations

Other:

• Basic Computer Skills, 55 WPM (Microsoft Outlook, excel, word
• Medical Terminology Certificate preferred
• Knowledge working in Access Express/Portal, epic, (not mandatory)
• Good oral, written and telephone skills

Skills and Abilities:

• Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Communicates effectively using good customer relations skills.
• Mathematical Skills: Ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s. Ability to perform these operations using units of American money and weight measurement, volume, and distance.
• Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
• Computer Skills: Basic skills required.

Other Skills and Abilities:

• Good organizational skills
• Ability to reason and carry out instructions.
• Good interpersonal skills.
• Read, write and speak English fluently.
• File systematically.

Alignment requires all new hires to follow local and/or state requirements regarding the COVID-19 vaccine and booster. If applicable, proof of vaccination and booster will be required as a condition of employment subject to legal exemptions. This policy, which Alignment reserves the right to modify, is part of Alignment’s ongoing efforts to ensure the safety and well-being of its staff and community and to support public health efforts.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com.

• DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.