Authorization Specialist I, RCM

Team Select Home Care; Salem, Northern (NH, KY); Hybride; USD 25 000 - 33 000; Plein temps

Avantages offerts par ce poste

Medical, Dental, Vision Insurance

Paid Time Off and Paid Sick Time

401(k)

Referral Program

Résumé du poste

Team Select Home Care is seeking an Authorization Specialist I to manage authorization requests for all insurances. You will report to the Authorization Manager, RCM, and coordinate with field staff to confirm patient authorizations and responsibilities.

Responsibilities include checking eligibility, tracking authorizations, data entry into EMR, and generating routine reports. Strong communication and confidentiality are essential to success in this non-exempt role.

Qualifications

• Excellent verbal and written communication across all levels.
• Strong organizational skills and problem solving ability.
• Able to adapt to change and meet timetables.
• Maintain confidentiality of sensitive information.
• Experience with data entry and EMR systems is a plus.

Responsabilités

• Check eligibility/benefits on patients as needed at intake and monthly for non-Medicaid insurances.
• Track and obtain all authorizations and reauthorizations for patient care across locations.
• Enter authorization information into the EMR and verify payor setup accuracy.
• Run daily, weekly, and monthly reports for the department.
• Communicate with internal and external customers to ensure proper use of authorizations.

Connaissances

Verbal communication

Written communication

Organizational skills

Problem solving

Attention to confidentiality

Adaptability

Time management

Formation

High School Diploma or Equivalent

Description du poste

## Authorization Specialist I, RCMApply: Salem, NH: Full time: Posted Today: JR101525The Authorization Specialist is a position that performs the authorization requests for all insurances. This employee reports directly to the Authorization Manager, RCM.**Duties/Responsibilities:*** Checking eligibility/benefits on patients as needed: Upon intake if not previously done for all patients and monthly on patients with non-Medicaid insurances and the beginning of each month where prior authorization is not required* At the beginning of every new year, obtaining details on eligibility, patients deductible and out of pocket costs* Communicating any patients that will have a patient responsibility with the appropriate staff so they can verify the patient will want services and to inform field staff to correctly fill out the consents* Tracking and obtaining all authorizations for all locations, along with reauthorization throughout duration of patient care* Data entering all authorization information into the system* Verifying accuracy in payor setup in EMR for all active policies* Maintain electronic record of all authorizations* Run reports daily, weekly, and monthly for department* Communicate with both internal and external customers to ensure authorizations are utilized accurately* Performs other duties as assigned## **Required Skills/Abilities/Knowledge:*** Excellent verbal and written communication skills with ability to communicate across all levels of field-based leadership* Demonstrates high degree of organization and problem solving* Able to effectively deal with change* Able to complete projects and tasks within specific timetables* Able to successfully interact with people in face-to-face situations as well as by telephone in a professional and effective manner* Requires the ability to communicate verbally and in writing and to maintain confidentiality of sensitive information* Requires the ability to use logical and scientific thinking to interpret technical data and solve a broad range of problems including the ability to use complex techniques to assess situations* Requires the ability to interpret, adapt and react calmly under stressful conditions* Must be able to relate cooperatively and constructively with clients and co-workers## **Education/Experience/Licenses/Certifications:*** High School Diploma or Equivalent## **Physical Requirements:**“You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations.”* Requires the ability to write, dictate or use a keyboard to communicate directives* Utilizes proper body mechanics in multiple environments* Requires the ability to function in multiple environments**FLSA Status**: Non-exempt**EEO Status**: Administrative Support Worker## **Benefits + Perks of Joining the Team Select Family*** Medical, Dental, and Vision Insurance* Paid Time Off and Paid Sick Time* 401(k)* Referral Program**Pay Range:** $XX.XX - $XX.XX / hour*Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. Team Select Home Care is an employment-at-will employer.*