Insurance Preauthorization Specialist

AdamsPlace; Murfreesboro (TN); On-site; USD 35,000 - 50,000; Full time

Job summary

AdamsPlace in Murfreesboro, TN is seeking an Insurance Preauthorization Clerk responsible for verifying and obtaining authorizations from insurance companies. The role involves communicating with patients and coordinating with clinicians to ensure accurate patient care.

Candidates must have a High School Diploma and ideally one year of experience in a healthcare or business environment. Strong skills in customer service and attention to detail are essential. This position offers a supportive work environment with opportunities for professional growth.

Qualifications

• One year business/healthcare education or equivalent experience required.
• One year experience in a group practice or healthcare system is preferred.
• Understanding of home care operations related to patient intake.

Responsibilities

• Research and correct patient authorization information.
• Enter all authorizations into the NHC computer system.
• Communicate with clinical staff on authorizations of all patients.

Skills

Computer data entry

Attention to detail

Customer service

Education

High School Diploma

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. Communicates with patients regarding updated insurance information where applicable and coordinates 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

According to HomeCare policies/procedure, under the direction of the Director, Accounts Receivable:

• 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 on all patients.
• Works with and assists the billing department in researching and resolving all claims.
• Keeps management informed regarding changes in authorization process.
• Establishes and maintains a professional relationship with all staff in order to resolve problems and increase knowledge of authorization management.
• Makes photocopies for the corporate packet.
• Educates/communicates with agency staff.
• As necessary, works 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