Home Health Authorization Specialist - Onsite

YELM US Associates, LLC

New York (NY)

On-site

USD 34,000 - 39,000

Full time

3 days ago
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Benefits offered by this job

Paid Time Off
Medical Coverage
Vision Coverage
Dental Coverage
401k with Employer Match
Voluntary Life Insurance
Critical Illness Insurance
Group Hospital Indemnity

Job summary

YELMUS Associates is seeking a detail-oriented Authorizations Coordinator to manage and submit home health service authorizations. You will review patient records, communicate with insurers, and resolve issues on denied or delayed authorizations.

The role requires collaboration with clinicians and case managers to align care plans with authorization requirements. The position offers an onsite schedule in Brooklyn, NY, with a focus on accuracy and timely submissions and requires experience with

Qualifications

  • Minimum 1 year of experience in an authorizations-related role in a home care agency.
  • Proficiency with HHA eXchange.
  • Proficiency with Excel.
  • Strong organizational, critical thinking, and problem-solving skills with attention to detail.
  • Effective communication and interpersonal skills to build rapport with clients, caregivers, and healthcare professionals.

Responsibilities

  • Process and track authorizations for home health services and submit to insurance providers.
  • Review patient records and treatment plans for complete and accurate documentation.
  • Communicate with insurance companies to obtain and revise authorizations.
  • Manage denied or delayed authorizations, including re-submissions or appeals.
  • Maintain detailed records of all authorization activities and collaborate with clinicians and case managers to ensure plans meet authorization requirements.
  • Stay updated on insurance policies, billing codes, and regulatory changes relevant to home care.
  • Provide exceptional customer service to internal and external stakeholders.

Skills

Organizational skills
Critical thinking
Problem-solving
Communication
Collaboration

Education

High school diploma or equivalent

Tools

HHA eXchange
Excel

Job description

YELMUS Associates is seeking a detail-oriented Authorizations Coordinator to manage and submit home health service authorizations. You will review patient records, communicate with insurers, and resolve issues on denied or delayed authorizations.

The role requires collaboration with clinicians and case managers to align care plans with authorization requirements. The position offers an onsite schedule in Brooklyn, NY, with a focus on accuracy and timely submissions and requires experience with

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