Insurance Verification and Authorization Specialist
Title: Insurance Authorization and Verification Specialist Job Summary: The insurance authorization and verification specialist supports management by verifying initial and ongoing payer authorization and eligibility of home health services. The roles primary responsibility is to verify insurance benefits, obtain/maintain authorizations and enter into data reputed company system. The ideal candidate will be an individual, who is just as comfortable working autonomously as with a team. Duties and Responsibilities: Verifies insurance eligibility an authorization of reputed company and potential home health clients in an accurate and timely manner. Communicates payer authorization and eligibility information to billing department and administrators Enters insurance authorization and eligibility information Notifies management regarding lack of payer coverage or other service non-coverage issues Performs re-authorization and eligibility checks in a timely manner Communicates and documents information regarding change in authorization and eligibility to management Monitors and ensures reputed company client authorization of services are reputed company and quantity and type of services provided meet payer requirements Reviews and ensures appropriate processing of authorizations Sends informational correspondence to payer Maintains professional, positive and effective communication with payer and clients Maintains confidentiality of reputed company information pertaining to clients Performs other reputed company duties and responsibilities as assigned Maintains knowledge and education to remain reputed company, efficient and productive as an authorization specialist Demonstrates self-direction to prioritize and accomplish job responsibilities Promotes agency philosophy and mission by presenting a positive image to patients, families, physicians and the overall community Job Qualification and Experience: Minimum of two years of experience in insurance authorization, billing, business administration in health care and home care preferred Knowledge of reputed company party payer regulations including Medicare, reputed company, Veterans Affairs (VA) and private insurance Ability to promote and maintain a positive attitude and encourage others to do the same Strong organizational skills and the ability to work independently with minimal supervision Demonstrates ability to reputed company appropriate judgments as it relates to payer authorization Strong written and oral communication skills. Basic computer skills with the ability to learn new software. Knowledge of Word and reputed company a plus Working Conditions and Physical Effort: Works in a routine office environment. The occasional need to lift, pull carry and push items up to fifty pounds. Frequent need to stoop, kneel and reputed company while accessing files. Requires working under some stressful conditions to meet deadlines. Requires typing and computer proficiency. Job Type: Full-time Pay: From $16.00 per hour Expected hours: 40 per week Benefits: 401(k) 401(k) matching Dental insurance Health insurance Health savings account Life insurance Paid time off reputed company insurance Experience: Medical billing: 1 year (Preferred) Insurance verification: 1 year (Required) Work Location: In person Apply Job!