Authorization Insurance Verification Coordinator

WORKING NURSES HEALTHCARE; Florida; In loco; USD 45.000 - 65.000; Tempo pieno

Vantaggi offerti da questo lavoro

401(k)

401(k) matching

Company parties

Dental insurance

Health insurance

Opportunity for advancement

Paid time off

Vision insurance

Descrizione del lavoro

Working Nurses Healthcare, LLC seeks an Authorization Insurance Verification Coordinator to verify patient insurance benefits and confirm current coverage for home health services in Florida. You will discuss copays, deductibles, and any patient financial responsibilities with providers and patients.

The role requires 1–2 years in insurance verification, strong communication skills, and accuracy. Availity and KanTime experience is a plus, with collaboration across clinical and billing teams.

Competenze

• 1–2 years in insurance verification or authorization.
• Strong understanding of insurance terminology and coverage.
• Excellent written and verbal communication.
• Ability to multitask in a fast-paced healthcare environment.

Mansioni

• Verify and authorize insurance coverage for home health services.
• Communicate benefits, copays, deductibles, and co-insurance to patients.
• Document all financial responsibilities clearly in records.
• Maintain up-to-date verification results in the system.
• Collaborate with clinical and billing teams to resolve discrepancies.
• Monitor outstanding authorizations and denied claims for timely resolution.
• Ensure compliance with policies and state/federal regulations.
• Explain insurance coverage clearly to patients and families.
• Handle patient inquiries professionally and accurately.
• Ensure claims and visits are approved for optimal reimbursement.

Conoscenze

Attention to detail

Analytical skills

Communication

Multitasking

Verbal/written communication

Insurance terminology

Strumenti

Availity

KanTime

Descrizione del lavoro

Benefits:

• 401(k)
• 401(k) matching
• Company parties
• Dental insurance
• Health insurance
• Opportunity for advancement
• Paid time off
• Vision insurance

Position Overview:

We are seeking a detail-oriented and highly analytical Authorization Insurance Verification Coordinator to join our home health agency. In this role, you will be responsible for verifying patient insurance benefits, ensuring benefits are current, and communicating financial responsibilities including copays, deductibles, and any other pertinent information. In this role the ideal candidate will work closely with insurance companies, and patients to verify coverage and secure the necessary approvals to optimize reimbursement and patient satisfaction. This is a fast-paced role requiring excellent communication skills, a strong attention to detail, and the ability to work efficiently in a dynamic environment.

Note: Start date for this position is January, 2027

Key Responsibilities:

• Verify and authorize insurance coverage for home health services for patients.
• Communicate with insurance providers to obtain and confirm benefits, including copays, deductibles, and co-insurance.
• Ensure all patient financial responsibility details are documented and accurately communicated to patients and team members.
• Maintain up-to-date records of verification results in the agency’s system.
• Collaborate with clinical and billing teams to resolve discrepancies and obtain necessary approvals for services.
• Monitor and follow up on outstanding authorizations or denied claims to ensure timely resolution.
• Ensure compliance with company policies, state, and federal regulations regarding insurance and authorization processes.
• Provide clear and concise explanations of insurance coverage to patients and families.
• Handle patient inquiries with professionalism and accuracy.
• Ensure claims and visits are approved for optimal reimbursement.

Qualifications:

• Minimum of 1-2 years in insurance verification, authorization, or a related field, preferably in the healthcare industry.
• Strong understanding of insurance terminology, benefits, and healthcare coverage.
• Excellent analytical skills and attention to detail.
• Ability to work effectively in a fast-paced and demanding environment.
• Strong written and verbal communication skills.
• Proficient in using insurance portals and patient management systems.
• Experience working in a home health agency or similar healthcare setting is preferred.
• Ability to multitask and prioritize effectively in a busy environment.
• Experience or knowledge of Availity and KanTime a plus.