Authorization Coordinator

Millennium Healthcare Services, Inc.; California (MO); On-site; USD 29,000 - 34,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Employee assistance program

Health insurance

Paid time off

Vision insurance

Job summary

Millennium Home Health is seeking an Authorization Specialist to manage the timely submission of authorization requests to assigned payers, using paper forms, printed documentation, fax, payer portals, or other means.

You will verify insurance eligibility, follow up on denials with billing and clinical teams, maintain progress reports, and communicate with patients, payers, and providers to ensure timely approvals.

Qualifications

• Experience handling health insurance authorization requests.
• Experience in a medical office setting.
• Strong communication and documentation skills.

Responsibilities

• Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.).
• Verify insurance eligibility; contact patients and departments with any negative outcomes.
• Assist billing with claims issues due to insurance authorization denials.
• Work closely with the clinical teams and referral sources regarding current and future authorization needs.
• Maintain progress/tracking reports on outstanding authorization to ensure timely request, receipt, and processing of authorization.
• Collect, review, discuss, and document demographic, insurance, and financial information with patients and payers.
• Follow approved guidelines and policies regarding routine patient and payer interactions.
• Negotiate payment reimbursement from a patient and third-party payers.
• Other duties as assigned.

Skills

Prioritization

Multi-tasking

Authorization experience

Medical office experience

Communication skills

Confidentiality

Problem solving

Documentation

Reading & following instructions

Team collaboration

Computer skills

Job description

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Description

Millennium Home Health is dedicated to providing innovative, quality, and cost-effective home health services to patients in their homes involving families that require skilled nursing, rehabilitative, and support services.

Job Description

The position will entail the timely submission of authorization requests to assigned payers. Submission of requests will be completed using paper forms, printed documentation, fax, payer portals, or other means. Complete follow-up on requests to ensure timely turnaround and approval. Understand payer requirements to ensure approval is granted. Escalate problem accounts and ensure resolution. Regular contact with patients, insurance plans, physician offices, respiratory therapists, and other personnel is necessary.

Responsibilities

• Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.)
• Verify insurance eligibility; contact patients and departments with any negative outcomes
• Assist billing with claims issues due to insurance authorization denials
• Work closely with the clinical teams and referral sources regarding current and future authorization needs
• Maintain progress/tracking reports on outstanding authorization to ensure timely request, receipt, and processing of authorization
• Collect, review, discuss, and document demographic, insurance, and financial information with patients and payers
• Follow approved guidelines and policies regarding routine patient and payer interactions
• Negotiate payment reimbursement from a patient and third-party payers
• Other duties as assigned

Skills and Qualifications

• Ability to prioritize
• Ability to multi-task
• Previous experience working with authorization requests, required
• Previous experience working in in a medical office setting, or equivalent experience
• Good communication and interpersonal/team skills
• Must have a high regard for confidential information
• Ability to find solutions when barriers are identified
• Strong documentation skills
• Ability to read, understand and follow oral and written instructions
• Demonstrates a willingness and ability to work under supervision
• Ability to develop and maintain good working relationships with staff
• Ability to use computer and learn new software programs
• Excellent interpersonal skills reflecting clarity and diplomacy and the ability to communicate accurately and effectively with all levels of staff and management

Schedule

• Monday-Friday, 9:00am-5:30pm
• Job Type: Full-time

Benefits

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Vision insurance

Work Location

In person

Pay

From $21.00 - $25.00 per hour

This position is currently accepting applications.