Insurance Preauthorization Specialist

NHC HealthCare, Charleston; Murfreesboro (TN); On-site; USD 30,000 - 45,000; Full time

Job summary

NHC HealthCare, Charleston is seeking an Insurance Preauthorization Clerk in Murfreesboro, TN. The role requires verifying and obtaining insurance authorizations, communicating updates to patients, and coordinating with clinical staff.

Qualified candidates should have a High School Diploma and preferably experience in a healthcare setting. Strong attention to detail and customer service skills are essential. The position involves working both independently and as part of a team to maintain efficient operations and improve standards.

Qualifications

• One year of experience working in a group practice or healthcare system preferred.
• Understanding of home care operations related to patient intake and ongoing care.
• Must be able to work independently and on a team.

Responsibilities

• Verify and obtain authorizations from insurance companies.
• Enter all authorizations into the computer system in a timely manner.
• Communicate with clinical staff on authorizations for all patients.

Skills

Attention to detail

Customer service

Data entry

Healthcare knowledge

Teamwork

Education

High School Diploma

Business/healthcare education or equivalent experience

Job description

Insurance Preauthorization Clerk – Murfreesboro, TN

NHC HomeCare TN Regional is looking for an Insurance Preauthorization Specialist to join our team. Responsible for verifying and obtaining authorizations from insurance companies under the plan coverage for all appropriate patients, communicating with patients regarding updated insurance information where applicable and coordinating the information with clinicians.

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.

Specific 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 for all patients.
• Works with and assists the billing department in researching and resolving all claims.
• Keeps management informed regarding changes in the authorization process.
• Establishes and maintains a professional relationship with all staff to resolve problems and increase knowledge of authorization management.
• Makes photocopies for the corporate packet.
• Educates / communicates with agency staff.
• As necessary, works with improvement plan with leadership to raise work quality standards.
• Attends appropriate workshops to enhance performance.
• Performs miscellaneous typing, data entry, filing, copying duties.
• Other duties as assigned.

EOE