Care Authorization Specialist

KabaFusion; Charlotte (NC); Vor Ort; USD 42.000 - 62.000; Vollzeit

Benefits dieser Stelle

Competitive compensation

Benefits start on your 1st day of work

401k with 4% match

PTO / Floating Holidays / Paid Holiday

Company paid life insurance, short‑/长期

Employee Assistance programs

Learning & Development Programs

Discounts on travel, cell phone, and更多

Zusammenfassung

KabaFusion in Charlotte, NC is seeking a Reauthorization Representative to obtain authorizations for ongoing patient care. This full-time role requires you to work with doctors, insurance plans, and internal teams to ensure timely approvals.

You will notify team members of authorization status, manage changes in plans, collect co-insurance where applicable, and assist in eligibility verification. Experience in home health or home infusion is preferred; strong communication and organizational

Qualifikationen

• Previous work experience in the home health or medical fields.
• Minimum one (1) year of authorization, intake and eligibility required.
• Previous experience in the home infusion, home health or medical field preferred.

Aufgaben

• Secures authorization for ongoing patient care.
• Notifies internal team members of authorization status.
• Notifies internal team members, Account Executives, doctors and patients of patient issues or delays in care.
• Prepares Financial Obligation Notifications FOBs, annually and with plan changes.
• Updates computersystem with changes in insurance, plan or benefits; alerts regarding insurance, authorization or patient issues.
• Collects and processes co-insurance payments.
• Processes rejections from Part D payers.
• Investigates reimbursement issues from the Suspend Report.
• Works with Accounts Receivable to resolve insurance, claims or payment issues.
• Trains new team members.
• Assists in verifying benefits and eligibility.
• Updates physician information in computer system when applicable.
• Backs up to the Intake Department as needed.
• Other related duties as assigned by supervisor.

Kenntnisse

Communication

Organization

Prioritization

Multitasking

Numerical skills

Jobbeschreibung

KabaFusion in Charlotte, NC is seeking a Reauthorization Representative to obtain authorizations for ongoing patient care. This full-time role requires you to work with doctors, insurance plans, and internal teams to ensure timely approvals.

You will notify team members of authorization status, manage changes in plans, collect co-insurance where applicable, and assist in eligibility verification. Experience in home health or home infusion is preferred; strong communication and organizational