Authorization Specialist (Part Time)

Summary:

Primary function is to obtain home health authorizations for all services ordered for each payer (Medicare replacement, Medicaid and commercial plans) that requires an authorization. This position is a Part Time position with the potential to be converted to a Full Time position based on future Home Health Census achievement and thus the subsequent sustainability as well as the performance of the individual. The part time hours are Monday-Friday approximately 20-25 hours and if converted to a Full Time position the hours would be Monday-Friday 8:30am-5:00pm for a total of 40 hours per week. The pay rate for this position is $15/hour. If converted to a Full Time position the employee would have access to all of our FT benefits (health and dental insurances, PTO, tuition reimbursement, etc)

Essential Duties and Responsibilities:

 Obtains authorizations in a timely manner

 Reviews the insurance verification and completes the authorization process within established time frames. Accurately enters data into software program

 Receives MD order and coverage authorization from agency designee.

 Works closely with agency to meet established timelines

 Works closely with and supports team efforts to accomplish authorization/verification

 Requests authorization from insurance company Case Managers to provide specific services and parameters of care

 Provides effective communication to patient/family, team members, and other health care professionals and maintains confidentiality

 Adheres to all company policies and procedures.

 Provides supportive services to other office staff, such as scheduling, intake and answering phones

 Performs other duties as assigned.

Minimum Qualifications:

Education/Licensing/Certification:

 High School Graduate or equivalency.

Experience:

 One or more years of pre-authorization, authorization or billing experience required.

 Experience in the health care billing preferred

 Utilization management experience and pre-certification helpful.

 Customer Service experience

Knowledge and Skills:

 Knowledge of insurance policies for home care authorizations

 Ability to establish and maintain effective working relationships with all segments of the branch staff, billing and collections department and, insurance representatives

 Self-Starter and able to work independently

 Ability to multi-task

 Usage of Medical Terminology

 Strong negotiation and conflict management skills

 Computer literate and can learn new software programs

 Can use basic office equipment including but not limited to desktop computers, printers, fax machines, telephones.

Training:

 Will receive orientation and pre-service training on operations of Aging True.

 Will attend pertinent in-service training’s as schedule permits.

Anyone with these skills that is interested in this position please email your resume to homehealthjobs@agingtrue.org with the Subject Line “Auth Specialist July 2020”.

AGING TRUE IS AN AFFIRMATIVE ACTION EMPLOYER

AGING TRUE IS AN EQUAL OPPORTUNITY EMPLOYER

AGING TRUE IS A DRUG FREE WORKPLACE