Insurance Authorization Specialist — Nutritional Support

externallincarecareers; Grain Valley (MO); On-site; USD 24,000 - 48,000; Part time

Job summary

externallincarecareers is seeking an Insurance and Authorization Specialist to obtain benefits and eligibility information and submit authorization and subsequent reauthorization for patients requiring Enteral Nutrition or Oral Nutrition Supplements. This Part-Time role features hours determined at hire with a minimum of 17.5 hours and maximum of 35 hours, with potential week-to-week fluctuation.

You will run eligibility and benefits checks, call insurers, review documentation, and attach files

Qualifications

• High school diploma or GED; related experience and/or training, or equivalent combination of education and experience.
• Medical billing/coding experience preferred.
• Health insurance authorization submission experience preferred.
• Computer entry experience necessary.

Responsibilities

• Run eligibility and benefits.
• Call insurance to go through individual HCPCs and Policy.
• Analyze paperwork to ensure documentation received and patient qualifies under insurance guidelines.
• Work with local center or referring provider if additional documentation is needed.
• Review paperwork for completion.
• Request authorization and follow up on authorization.
• Attach all documentation to the EMR system via a systematic naming process.
• Input thorough notes in EMR system.
• Communicate with the local center on authorization process.
• Use payer knowledge to determine dates to submit for authorization.

Skills

Eligibility verification

Communication skills

Documentation

Training others

Education

High school diploma or GED

Medical billing/coding experience

Health insurance authorization submission experience

Computer entry experience

Job description

externallincarecareers is seeking an Insurance and Authorization Specialist to obtain benefits and eligibility information and submit authorization and subsequent reauthorization for patients requiring Enteral Nutrition or Oral Nutrition Supplements. This Part-Time role features hours determined at hire with a minimum of 17.5 hours and maximum of 35 hours, with potential week-to-week fluctuation.

You will run eligibility and benefits checks, call insurers, review documentation, and attach files