Authorization Specialist

Alternate Solutions Health Network; Kettering (OH); On-site; USD 24,000 - 34,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

401K with company match

Life insurance

Disability insurance

Employee Assistance Program

Job summary

Alternate Solutions Health Network in Kettering, OH is seeking an Authorization Specialist to secure medical authorizations from commercial and government payers for post-acute services. This in-office role collaborates with clinical staff, offices, and insurers to ensure timely, accurate authorizations.

The position requires a high school diploma (associate degree preferred) and billing experience; we offer comprehensive benefits including medical, dental, vision, PTO, and 401K matching.

Qualifications

• High-School graduate or equivalent; Associate's degree preferred.
• 1 year of billing insurance experience in a health care environment preferred.
• Capable of all physical demands.

Responsibilities

• Customer Service: Communicates with patients, employees and vendors regarding services.
• Operations: Checks eligibility for all payor types, assumes responsibility for all patient authorizations.
• Compliance: Follow agency policies, laws and regulations to ensure proper authorizations.
• Interface with clinical staff, medical offices and insurance payors to ensure seamless process.

Skills

Excellent communicator

Patience

Attention to detail

Problem solving

Ability to learn new systems

Education

High-School graduate or equivalent

Associate's degree preferred

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Peachtree

HCHB

EPIC

Job description

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.

Schedule: Monday - Friday, 8:15am - 5pm

Compensation: Starting at $21.00 an Hour!

Location: In-Office at our Kettering, OH location

How You'll Make a Difference At Alternate Solutions Health Network, we care for patients where they spend the majority of their time – in their homes. Today we care for patients who need skilled home care and hospice services. You won’t find our brand in many places because we partner with health systems, jointly running home health and hospice agencies that use their brand. This is part of our strategy. By being part of the health system team, we can ensure each patient has a well-coordinated care plan that remains consistent whether the patient is seeing their primary care physician, receiving treatment in a hospital, or under our care in the home.

Authorization Specialist As an Authorization Specialist, you will take the lead in securing medical authorizations from third party payers (commercial and government) for post-acute services. The Authorization Specialist will be instrumental in obtaining written documentation, tracking, prioritizing and reporting outcomes of each authorization request.

What We Offer We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates receive paid time off and may participate in the 401K, if they choose. Historically the company has matched 401K contributions which helps build your nest egg even faster. Finally, our benefit program includes company paid life, disability insurance, and a robust Employee Assistance Program.

How You'll Work You will interface directly with clinical staff, medical offices and insurance payors to ensure a seamless process to the patients receiving post-acute health care services.

Major Areas Of Responsibility

• Customer Service: Communicates with patients, employees and vendors regarding services. Assists patients, their families and co-workers in understanding authorizations and eligibility
• Operations: Checks eligibility for all payor types, assumes responsibility for all patient authorizations. Collects and records accurate patient information.
• Compliance: Understands and practices agency policies and procedures and continually improves practices. Able to follow all legal rules and regulations

Hard & Soft Skills

• Excellent communicator with a positive attitude.
• Patience is a virtue when working with patients, families, physicians, and coworkers.
• Attention to detail is critical, as is being observant and following directions.
• Proficiency in Microsoft Excel, Word, and Outlook. Experience with Peachtree, HCHB and EPIC is preferred. Ability to learn new systems.
• Problem solving and create solutions to drive to a course of action.

Requirements

• High-School graduate or equivalent. Associate's degree preferred.
• 1 year of billing insurance experience in a health care environment preferred.
• Capable of all physical demands.

City: Kettering, OH

We’ll help you put your passion for patient care to work.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

We are an Equal Opportunity Employer.