Why You’ll Love Being an Insurance Authorization Specialist at AccentCare
Do you enjoy providing outstanding patient care? Bring your organizational skills and knowledge of at-home care and join the AccentCare team today in this Insurance Authorization Specialist job.
When you join AccentCare, you become part of a team that is not only dedicated to their patients, but to each other as well. Here, you will truly make a difference each and every day as you work alongside a supportive team. With a competitive benefits package, work-life balance, professional development, and an outstanding work environment, you will have everything you need to achieve success in your career. Bring your passion for patient care and you will build a career you love in this Insurance Authorization Specialist job.
Join the AccentCare team and apply for this Insurance Authorization Specialist opportunity today!
Responsibilities
Insurance Authorization Specialist Job Responsibilities
- Be responsible for oversight of the insurance authorization process regarding case management of care clusters and patient pathways. To include timely and complete processing of eligibility and benefit verification, initial and ongoing authorization requests following set guidelines and accurate entry of related information in designated software system.
- Review and build Communication Bridge with branch in regard to adherence of visit parameters and assistance or explanation of exceptions.
- Maintain policies and procedures to ensure timely communication of verification and authorization status to field locations, providing necessary information to facilitate decision making for patient care clusters, pathways and visit utilization coverage. Communicates with management on areas of risk. Provide tracking and regular updates on outstanding issues when required.
- Maintain efficient tracking of all pending authorizations for team to ensure timely resolution and avoid loss of revenue.
Qualifications
Insurance Authorization Specialist Job Qualifications
- High School Diploma Required
- Able to work any shift between 7 am and 7 pm and occasional Saturdays & Sundays
- Working knowledge of billing activities, Medicare and Non-Medicare Home Health payer requirements
- Knowledge of Federal, State, and accreditation regulations governing home care
- Proficiency with MS Office Word, Excel and Outlook
- 1+ year previous experience with insurance verification / authorization or Billing experience
