Authorization & Eligibility Clerk (Hospice)

Addus HomeCare; Frisco (TX); Remote; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

PTO

Retirement plan

Life Insurance

Job summary

Addus HomeCare in Frisco, TX is seeking an Authorization & Eligibility Clerk (Hospice) to track and submit patient authorizations for private insurance. The role requires Hospice/Home Health experience, HCHB familiarity, and strong Excel/MS Word skills.

You will coordinate with staff, manage multiple deadlines, and support the Billing Manager in improving authorization processes. The schedule is remote, Monday–Friday 9am–6pm CST with a lunch break; on-call rotation evenings and weekends is

Qualifications

• Knowledge of insurance guidelines for submittal and follow-up on authorizations.
• Hospice/home health experience required.
• Proficiency with Excel and MS Word; strong computer skills.

Responsibilities

• Track and request authorizations for private insurance.
• Modify processes to improve authorization workflows under supervision.

Skills

Insurance authorization experience

Hospice experience

Excellent organizational skills

Interpersonal skills

Customer service

multitask management

Tools

HCHB

Excel

Microsoft Word

Job description

Authorization & Eligibility Clerk (Hospice)

The Authorization Clerk is responsible for tracking and requesting patient authorizations for private insurance patients in Hospice; communicating with staff regarding authorization dates; following appropriate insurance guidelines for submittal, and following up on authorizations not yet received. HCHB experience preferred. Hospice Commericial authorization experience required.

Schedule: Remote - Monday thru Friday 9am-6pm CST with an hour lunch. There is an on-call rotation for
evenings and weekends also.

>> We offer our team the best <<

• Medical, Dental and Vision Benefits
• PTO Plan
• Retirement Planning
• Life Insurance
• Track and request all authorizations for private insurance
• Make modifications to improve the authorization process and relationships with provider under the supervision of the Billing Manager
• Disseminate accurate information regarding authorizations to staff
• Enter staff schedules for private pay clients weekly
• Verify insurance eligibility of clients on a monthly basis
• Adhere to work schedule and maintain good punctuality and attendance record
• Adhere to dress code
• Perform any other related duties and responsibilities deemed necessary by Supervisor.
• Insurance experience preferred - running/reading eligs, requesting authorizations
• HCHB experience preferred
• Home health & Hospice experience required
• Possess knowledge of medical terminology and/or possess general medical background
• Ability to work with little supervision and make appropriate judgments
• Excellent organizational skills, and interpersonal skills.
• Must be dependable, tactful and ability to follow orders.
• Demonstrate ability to manage multiple deadlines.
• Must have advanced computer skills.
• Must have excellent customer service skills.
• Must be proficient in Excel and Microsoft Word.