Full Time Home Health Patient Authorization Coordinator

OVERVIEW

Now Hiring!

Full-Time Home Health Patient Authorization Coordinator

Office Location:

Signature Healthcare at Home

7632 SW Durham Road, Suite 100

Tigard, Oregon 97224

Work Schedule: Monday through Friday, 8 to 5

Please apply on line for this position here: https://signature-careers.com

Benefits Offered:



* Up to 4 weeks of PTO per year


* 6 paid holidays (Memorial Day, Labor Day, 4 th of July, Thanksgiving, Christmas and New Years Day)


* Accrued Sick Leave Bucket, up to 8 days per year


* 401K Plan goes into effect 90 days of employment, matching program


* Benefits; Medical, Dental, Vision, etc.


* Continuing Education Reimbursement Program and higher education reimbursement


* Fitness/Physical Activity Reimbursement


* Mental Health Wellness Webinars


* Employee Referral Bonus Program


* MedBridge Account for Continuing and Compliance Education

Overview of Position:

Provides insurance authorization expertise to assure timely and accurate billing of managed care claims requiring prior authorization for home care services.

RESPONSIBILITIES



* Secure authorizations for all managed care clients in a timely manner to facilitate billing and maximize reimbursement.


* Track all authorizations using the Electronic Medical Records (EMR) for authorization information, as well as status and outcome of all requests to aide in the alleviation of bad debt.


* Communicate timely with clinical staff and third-party payers regarding the medical necessity for authorizations for home care services and reminders regarding pending authorization expirations.


* Communicate with scheduling coordinators, clinical staff and managers/supervisors regarding inquiries/referrals that are pending awaiting authorization.


* Verify the accuracy of the authorization information in the EMR as entered by other agency staff.


* Work closely with billing and accounting staff to facilitate timely and accurate billing to prevent denials resulting in bad debt.


* Review clinical documentation and aid in the appeals process when claims are denied.


* Other duties as assigned.


* Supports mission, values and goals of Signature.

QUALIFICATIONS



* High School diploma or equivalent


* Minimum two years' experience in administrative position in healthcare setting


* Experience with medical/insurance billing, insurance authorizations and or medical claims processing


* Knowledge and training home health and or hospice services, medical background and/or insurance authorization experience preferred


* Proficient in computer/data entry a must


* Able to self-manage and work with minimal supervision


* Possess strong problem solving and organizational skills


* Exceptional interpersonal skills both over the phone and in person


* Strong customer service attitude


* Willingness to help other team members to complete special projects or tasks


* Knowl...