Job description
The authorization coordinator is responsible for providing accurate and complete data input for precertification requests and for providing excellent customer service.
This position is responsible for verifying insurance, and obtaining authorization as required by each
insurance company, dependent upon
the plan coverage for each patient.
The authorization coordinator acts a resource for referral sources, and works closely with branch staff to ensure adequate coordination and transition.
This role will be based in-office and will be eligible for a hybrid-remote schedule after a ramp up time of six months.
Hours: Monday - Friday, 8:30am - 5:30pm
Responsibilities
Provide accurate and complete data input for pre-certification request and for providing excellent customer service.- Handle all functions of the authorization process including initiation, tracking and status follow-up for patients to ensure authorization and re-authorization for coverage of services.
- Verify Medicare, commercial insurance and Medicaid coverages and request initial authorization and re-authorization of home health visits.
- Collect information required by the insurance company to render authorization decisions.
- Contact patients for updated insurance information.
- Assist with month end reporting and logistical and/or problem resolution related to patient’s medical record, authorization and billing issues.
Qualifications
- Must have a high school diploma or equivalent. Two years of college or professional school is preferred.
- One year of third party eligibility verification experience is preferred.
- At least one year experience in insurance authorizations is preferred.
- One year experience with international classification of diseases (ICD)-10 or current procedural terminology (CPT) codes, or healthcare common procedure coding system (HCPCS) is preferred.
- Must have typing and clerical skills, and be competent with computers.
- Must be organized with the ability to communicate effectively, orally and in writing.
- Must be able to manage multiple tasks simultaneously.
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
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