Authorization Coordinator

TARLANI Healthcare; Glendale (CA); 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

TARLANI Healthcare, located in Montrose, CA, is seeking an authorization coordinator for timely submission of authorization requests to payers. The role involves using paper forms, fax, portals, and direct communication with patients and providers.

You will follow up on requests to secure timely approvals and maintain robust tracking systems. The ideal candidate has prior authorization experience in a medical office setting, strong multi-tasking abilities, and excellent communication with staff

Qualifications

• Experience handling authorization requests in a healthcare setting.
• Ability to prioritize and manage multiple tasks.
• Strong communication with patients, staff, and payers.
• Strict adherence to privacy and confidentiality requirements.
• Proficient use of computer systems and payer portals.

Responsibilities

• Obtain authorization for patient care (initial, reauthorization, follow-up).
• Verify insurance eligibility; contact patients/departments for issues.
• Assist billing with claims affected by authorization denials.
• Coordinate with clinical teams and referral sources for needs.
• Maintain progress reports on outstanding authorizations for timely processing.
• Gather and review demographic, insurance, and financial information with patients and payers.
• Follow approved guidelines for patient and payer interactions.
• Negotiate reimbursement with patients and third-party payers.
• Other duties as assigned.

Skills

Prior authorization

Multitasking

Healthcare office exp

Confidentiality

Communication

Computer literacy

Teamwork

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.

Location Montrose

Full-Time/Part-Time -unspecified-

Shift -not applicable-

Exempt/Non-Exempt Non-Exempt

Description

Tarlani Healthcare 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

Position Requirements

About the Organization TARLANI HEALTHCARE

BE HOME. BE SAFE. BE HEALTHY

Our mission is to participate as an active part of the community, in providing and continuously improving the home health care needs of the patient by delivering value-driven, high-quality compassionate care. This is the foundation of our reputation. We take a team approach to ensure all aspects of our patient's and family's needs are met, and the consistency of our growth is directly related to patient and family satisfaction with the services we provide. The administration takes a personal interest in the day-to-day operation of our organization.

We deliver state-of-the-art home care services and experience with identified centers of excellence. We engage in a wide range of continuing education, clinical education, and other programs for professionals and the public. TARLANI Healthcare maintains financial viability through a cost-effective operation to meet the organization's long-term commitment to the community.

This position is currently accepting applications.