Authorization & Benefits Verification Specialist

Socket.dev; Louisiana (MO); On-site; USD 23,000 - 28,000; Full time

Benefits offered by this job

Full benefits package

Paid time off

Healthcare services through HSA/PPO

Wellness rewards program

401(k) with company match

Job summary

Amedisys is seeking an experienced healthcare benefits verifier to support the home health team with accurate insurance verification, authorizations, and billing processes. You will enter patient benefit data into the EMR, respond to inquiries, and coordinate with care centers to ensure smooth re-authorizations and accurate payor information.

The role requires two years in a medical office or home health setting, familiarity with carriers' guidelines, and strong billing terminology.

Qualifications

• High school diploma or equivalent.
• Two years' experience in a medical office/home health benefit verification or billing.
• Demonstrated knowledge of commercial insurance carriers' guidelines and criteria of verification, authorization, and reimbursement.
• Familiar with insurance billing and terminology.

Responsibilities

• Review referral information for accuracy in the applicable EMR system supplied by the care center.
• Obtain authorizations where required while maintaining compliance with medical record confidentiality regulations.
• Obtain information from agencies when necessary to assist with receiving authorizations and re-authorizations from private insurance and all other payor sources.
• Assist other departments and care centers in the efficient collection of client and payor information to ensure accuracy.
• Enter all patient benefit and authorization information into the applicable EMR system.
• Respond to calls, emails, and other inquiries regarding the status of outstanding referrals and/or authorization information.
• Provide other administrative support to the department as needed.
• Performs other duties as assigned.

Skills

Insurance verification

Authorization knowledge

Billing terminology

Medical office experience

Education

High school diploma or equivalent

Post-secondary education or training in business or medical billing/collections

Job description

Amedisys is seeking an experienced healthcare benefits verifier to support the home health team with accurate insurance verification, authorizations, and billing processes. You will enter patient benefit data into the EMR, respond to inquiries, and coordinate with care centers to ensure smooth re-authorizations and accurate payor information.

The role requires two years in a medical office or home health setting, familiarity with carriers' guidelines, and strong billing terminology.