Healthcare Authorization Specialist – Verifications

Pennant Group; Idaho; In loco; USD 40.000 - 60.000; Tempo pieno

Descrizione del lavoro

Symbii Home Health and Hospice Idaho is seeking an Authorization Specialist to verify patient insurance and coordinate with Billing and Patient Care staff to resolve issues. This full-time role involves verifying coverage, entering data into HCHB, and preparing copayment estimates for clinicians.

The position requires strong communication, attention to detail, and the ability to adapt to changing priorities to ensure timely authorizations and accurate patient information.

Competenze

• Strong written and oral communication skills.
• Excellent customer service.
• Organized and adaptable to changing priorities.

Mansioni

• Contact insurance company/case managers to verify patient insurance coverage and extent of benefits.
• Utilize UGS/DDE and EDS to verify eligibility for Medicare and Medicaid, and research secondary payers.
• Prepare insurance verification form with data such as names of insurance company and policyholder and policy number. Enter into Homecare Homebase (HCHB).
• Prepare estimates of patient copayment for clinician to deliver to patient and notify clinician of preauthorized visits.
• Enter visit authorizations into HCHB and maintain an audit system for additional visit authorization needs.
• Report unauthorized visits to supervisor when applicable.
• Maintain audit systems for True Blue authorizations for recertification and hospice recertification.
• Submit CHAPS reporting for both Home Health and Hospice.

Conoscenze

Insurance verification

Communication

Data entry

Detail orientation

Team collaboration

Strumenti

UGS/DDE

EDS

Homecare Homebase (HCHB)

Descrizione del lavoro

Symbii Home Health and Hospice Idaho is seeking an Authorization Specialist to verify patient insurance and coordinate with Billing and Patient Care staff to resolve issues. This full-time role involves verifying coverage, entering data into HCHB, and preparing copayment estimates for clinicians.

The position requires strong communication, attention to detail, and the ability to adapt to changing priorities to ensure timely authorizations and accurate patient information.