Authorization Coordinator- Cincinnati, OH

Interim HealthCare Inc.; Cincinnati (OH); On-site; USD 25,000 - 30,000; Full time

Job summary

Interim HealthCare Inc. in Cincinnati, OH is seeking an Authorization Coordinator to support patient services on-site. The role is full-time, 8:30 am to 5 pm, Monday to Friday, with a pay rate of $20 per hour and a Daily Pay option available.

You will act as a liaison with referral sources and healthcare professionals, coordinating calls and initiating care. The position requires intake screening, insurance verification, and prior authorization workflows, all within HIPAA guidelines.

Qualifications

• Associate degree or higher preferred.
• 1+ year Medical Terminology experience.
• Strong problem-solving skills and a high attention to detail.
• Comfort working in a fast-paced environment and under minimal supervision.
• Proficient in Microsoft Office and standard office equipment.

Responsibilities

• Act as liaison interfacing with referral sources, health professionals and field staff.
• Receive and coordinate calls, providing patients with information to access services.
• Communicate with patients and families about initiation of care/services.
• Complete intake screening and document information for admission decisions.
• Log referrals, prepare reports, and enter data for customers seeking care.
• Obtain verbal orders from physicians where permitted to initiate care.
• Enter customer information into the management system.
• Analyze and verify patient insurance coverage and determine payer priority.
• Obtain prior insurance authorizations for home care services as referred.
• Review clinician requests for additional units under established guidelines.

Skills

Medical Terminology

Attention to detail

Problem-solving

Fast-paced environment

Education

Associate degree or higher

Tools

Microsoft Office

Phone systems

Copy/Fax machines

Job description

Description

On-site in our Cincinnati, OH office

8:30am to 5pm, M-F, Full-time

As an Authorization Coordinator, you'll support a full range of patient services to bring comfort and dignity to our clients.

What we offer

• $20 per hour


• Full-time (FT) schedule, 8:30 am - 5pm, M-F


• Daily Pay option available

Responsibilities

• Act as a contact telephone liaison person interfacing with referral sources, outside agencies, health professionals and field staff


• Receive and coordinate all incoming calls, providing patients/clients and referral sources with basic information to assist in accessing appropriate services


• Communicate with patient/client and family regarding arrangements for the initiation of care/services


• Complete intake screening, including obtaining, documenting, and analyzing all required information to make a preliminary admission decision


• Receive and log referrals. Prepare reports and responses to inquiries. Provide telephonic contact and system data entry for customers seeking care/services


• Where permitted by law, receive verbal orders from physicians to initiate care/services


• Collect and enter customer information into the management information system


• Analyze and verifies patient insurance coverage and determines payer priority for all potential insurance. Communicates coverage information utilizing agency software


• Obtain prior insurance authorization for home care services as referred by Intake personnel, sales personnel, or other agency personnel


• Review requests made by clinicians and other authorized medical staff for additional authorized units under established guidelines


• Initiate prior and post authorization requests via fax transmission, online submission, or telephone contact


• Ensure that all prior authorizations and ongoing authorizations documentation, databases and records are maintained clearly, accurately within a timely manner, and meets HIPAA requirements


• Adhere to the established criteria and timeframes for processing urgent authorization or referral requests


• Ensure that any changes made to the authorization requests or referral forms are submitted directly from the payer via electronically or by fax


• Conduct research on authorization requests and handles inquires including researching history for duplications and considerations of authorization limits

Qualifications

• Education: Associate degree or higher preferred


• 1+ year Medical Terminology experience


• Strong problem-solving skills and a high attention to detail


• Comfort working in a fast-paced environment and under minimal supervision


• Proficient in common office equipment, including Windows PCs with Microsoft Office Suite, Copy/Fax machines, phone systems, etc.

Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.

At Interim HealthCare Home Care, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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