Assessment Services Coordinator

Join The Nation's Leading Administrator Of Long Term Care Insurance Services

This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative. We are the kind of employer you deserve.

illumifin is a leading provider of business process outsourcing for the insurance industry, managing over 1.3 million long-term care policies for the nation's largest insurers. We also provide clients with unique risk management insight built upon our proprietary long term care databases.

This position is responsible for the intake, set-up, assigning, follow-up and processing of all on-site assessments for the Assessment Services Division. This area also provides research information on the services provided by agencies across the country for purposes of care coordination and the collection of medical records and documents.

Hours are Mon-Fri, 8 : 30a-5p CST.

Responsibilities

• Meets, or exceeds, the 85% MOS Productivity Percentage department standard on a consistent basis.
• Coordinates the timely completion and processing of on-site assessments by our network of nurses and agencies telephonically.
• Provides appropriate assessments to network assessors via fax and / or web upload.
• Performs appropriate follow-up to assure the timely return of completed assessments, collection of medical records and / or home health care research information.
• Documents any action or communications accurately that occur regarding on-site assessments or requests and escalates all delays and customer concerns to the appropriate management level.
• Communicates accurate, timely and appropriate information to keep the customer informed of the status on all assessment requests.
• Collects missing and / or ineligible information to ensure timely and accurate processing of all completed on-site assessments or information requests.
• Interacts and communicates with On-site Assessors, Health Care Agencies, Health Care Facilities, Care Coordinator Supervisors and Claims Assistant Directors to assure customer expectations are met or exceeded.
• Researches agencies regarding home care services available including pricing.
• Negotiates provider rates for the most cost-effective services for the customer.
• Completes provider research forms with all needed information in an accurate, detailed and timely manner.
• Maintains confidentiality and compassion in handling all customer information.
• Upholds the principles of compliance as outlined in the Code of Conduct, Employee Handbook and related policies and procedures. Supports and participates in the mandatory Corporate Compliance Program training initiative on an annual or more frequent basis, as required.
• Other duties as assigned.