AR & Insurance Authorization Specialist — Hospice

Preferred Care Health Centers; Lakewood Township (NJ); Sur place; USD 52 000 - 76 000; Plein temps

Résumé du poste

Preferred Care Health Centers in Lakewood Township, NJ seeks an Accounts Receivable Insurance Authorization Specialist to manage billing and ensure insurance pre-authorization and eligibility verification support for services.

The role requires coordination of authorizations, accurate documentation, and proactive denial research to optimize cash flow and compliance with payer requirements.

Qualifications

• Experience in medical billing and AR workflows.
• Strong knowledge of insurance pre-authorization and eligibility checks.
• Ability to review EOBs and research denials.
• Excellent attention to detail and documentation.

Responsabilités

• Resolve billing disputes and discrepancies with customers or third parties.
• Maintain records of all payments from patients, insurance companies, Medicare, or other payors.
• Follow up on unpaid or denied claims and document actions.
• Coordinate and process prior authorizations for hospice services with carriers or Medicare.
• Verify patient insurance eligibility and benefits for ordered services.
• Troubleshoot authorization-related issues in the billing system.
• Maintain contact management for authorization status and documentation.
• Review EOBs and research denials or reductions.
• Prepare and submit claims to third-party insurance carriers electronically or on paper.
• Ensure compliance with healthcare plan requirements and internal policies.

Connaissances

Billing & collections

Authorization coordination

Eligibility verification

Patient communication

Formation

Associate degree in Healthcare Administration

Outils

Practice management software

Electronic claims submission

Description du poste

Preferred Care Health Centers in Lakewood Township, NJ seeks an Accounts Receivable Insurance Authorization Specialist to manage billing and ensure insurance pre-authorization and eligibility verification support for services.

The role requires coordination of authorizations, accurate documentation, and proactive denial research to optimize cash flow and compliance with payer requirements.