Care Coordination Preauthorization Specialist

Nhccare; McMinnville, Northern (TN, KY); Hybrid; USD 42,000 - 56,000; Full time

Job summary

NHC HomeCare in McMinnville, TN is seeking an Insurance Preauthorization Specialist to verify and obtain authorizations from insurance providers for patient plans. You will coordinate with clinicians, support staff, and the billing department to ensure timely processing and accuracy.

The role emphasizes customer service, independent work, and teamwork within a healthcare setting, supporting the patient intake and ongoing care processes.

Qualifications

• High School Diploma.
• One year business/healthcare education or equivalent experience required.
• One year experience working in a group practice or healthcare system preferred.
• Experience in computer data entry, accounting, related field, or general office work desirable.
• Understanding of home care operations related to patient intake and ongoing care.
• Ability to prioritize tasks and duties.
• Must be able to work independently and on a team, with attention to detail and accuracy.
• Must be able to provide Excellent Customer Service

Responsibilities

• Receives, researches and corrects patient authorization information
• Enters all authorizations into the NHC computer system, in a timely manner
• Communicates and works with clinical staff on authorizations on all patients
• Works with and assists the billing department in researching and resolving all claims
• Keeps management informed regarding changes in authorization process.
• Establishes and maintains a professional relationship with all staff in order to resolve problems and increase knowledge of authorization management
• Makes photocopies for the corporate packet.
• Educates /communicates with agency staff.
• As necessary, works improvement plan with leadership to raise work quality standards.
• Attends appropriate workshops to enhance performance.
• Other duties as assigned.

Skills

Attention to detail

Customer service

Prioritization

Teamwork

Data entry

Education

High School Diploma

Healthcare education or equivalent

Job description

NHC HomeCare in McMinnville, TN is seeking an Insurance Preauthorization Specialist to verify and obtain authorizations from insurance providers for patient plans. You will coordinate with clinicians, support staff, and the billing department to ensure timely processing and accuracy.

The role emphasizes customer service, independent work, and teamwork within a healthcare setting, supporting the patient intake and ongoing care processes.