Insurance Authorization & Care Coordination Specialist

KabaFusion; Carrollton (TX); Vor Ort; USD 42.000 - 54.000; Vollzeit

Benefits dieser Stelle

Competitive pay

Benefits from Day 1

401k 4% match

PTO / Holidays

Life insurance

Wellness programs

Learning & Development

Employee discounts

Zusammenfassung

KabaFusion in Carrollton, TX is seeking an Authorization Representative to ensure uninterrupted patient care by verifying insurance coverage, obtaining necessary authorizations, and completing start-of-care documentation.

The role protects revenue integrity and coordinates with patients, payers, and internal teams to support compliant service delivery in a fast-paced home infusion setting. High school diploma and 2 years in health care required.

Qualifikationen

• High school diploma or equivalent is required.
• Minimum of two years in home infusion or fast-paced health care.
• Experience with insurance verification, authorization submission, and billing terms.
• Proficient with Microsoft Office and EHR systems.

Aufgaben

• Provides courteous and professional telephone support to patients, families, payors, and clinical staff.
• Verifies insurance coverage prior to deliveries and notifies changes or terminations.
• Ensures services are eligible and covered under the patient’s insurance.
• Completes start-of-care, financial obligation, and Medicare/Medicaid forms in a timely manner.
• Collects and documents coinsurance, copays, deductibles, and requirements.
• Tracks authorization needs and secures ongoing authorization for patient care.
• Notifies stakeholders about approvals, issues, or delays in care.
• Estimates patient financial responsibility using verification data and payer contracts.
• Coordinates start-of-care materials and documents them in a timely manner.
• Documents eligible authorizations and communications in the EMR.
• Assists with resolving insurance claim rejections.
• Protects PHI in line with HIPAA regulations.
• Other duties as assigned by management.

Kenntnisse

Insurance verification

Authorization processing

Billing knowledge

Microsoft Office

EHR familiarity

Communication

Ausbildung

High school diploma

Tools

Microsoft Office

EHR software

Jobbeschreibung

KabaFusion in Carrollton, TX is seeking an Authorization Representative to ensure uninterrupted patient care by verifying insurance coverage, obtaining necessary authorizations, and completing start-of-care documentation.

The role protects revenue integrity and coordinates with patients, payers, and internal teams to support compliant service delivery in a fast-paced home infusion setting. High school diploma and 2 years in health care required.