Authorization & Eligibility Clerk (Hospice)

Addus HomeCare; Frisco (TX); Remote; USD 26,000 - 39,000; Full time

Benefits offered by this job

Medical, dental and vision

Continued education

PTO

Retirement planning

Life insurance

Employee discounts

Job summary

Addus HomeCare in Frisco, TX is seeking an Authorization Clerk to manage private insurance authorizations for hospice patients. The role involves tracking, submitting, and following up on authorizations, with HCHB experience preferred and home health/hospice background required.

The schedule is remote, Monday–Friday 9am–6pm CST with a one-hour lunch, plus an on-call rotation for evenings and weekends. Strong Excel/Word skills and customer service are essential.

Qualifications

• Insurance experience: running/reading eligs, requesting authorizations.
• HCHB experience preferred.
• Home health & Hospice experience required.
• Knowledge of medical terminology or general medical background.
• Ability to work with little supervision and make appropriate judgments.
• Excellent organizational and interpersonal skills.
• Dependable, tactful, and able to follow orders.
• Ability to manage multiple deadlines.
• Advanced computer skills.
• Excellent customer service skills.
• Proficient in Excel and Microsoft Word.

Responsibilities

• Track and request all authorizations for private insurance.
• Modify the authorization process and relationships under supervision of Billing Manager.
• Disseminate accurate authorization information to staff.
• Minimize denied authorizations.
• Schedule authorizations upon receipt.
• Enter staff schedules for private pay clients weekly.
• Verify insurance eligibility of clients monthly.
• Report unauthorized visits monthly.
• Adhere to work schedule, punctuality, and attendance.
• Adhere to dress code and conduct.
• Perform other related duties as deemed necessary by Supervisor.

Skills

Customer service

Organizational skills

Interpersonal skills

Attention to deadlines

Problem solving

Tools

HCHB

Excel

Microsoft Word

Job description

Position Summary

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 Commercial 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.

Benefits

• Medical, Dental and Vision Benefits
• Continued Education
• PTO Plan
• Retirement Planning
• Life Insurance
• Employee discounts

Essential Duties

• 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
• Minimize denied authorizations
• Schedule authorizations upon receipt
• Enter staff schedules for private pay clients weekly
• Verify insurance eligibility of clients on a monthly basis
• Report unauthorized visits monthly
• 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

Position Requirements & Competencies

• 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.

Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here: https://www.indeed.com/employers/work-wellbeing/work-wellbeing-100-ranking.