Insurance Preauthorization Specialist

Nhccare; Murfreesboro, Northern (TN, KY); Hybrid; USD 36,000 - 48,000; Full time

Job summary

National HealthCare Corporation in Murfreesboro, TN is seeking an Insurance Preauthorization Specialist to join our Accounts Receivable team. The role verifies and obtains authorizations from insurance companies under patient plans, communicates with patients about updated coverage, and coordinates information with clinicians.

The ideal candidate has a High School Diploma, about one year of healthcare or business education or equivalent experience, and strong data-entry and customer service

Qualifications

• High School Diploma required.
• One year business/healthcare education or equivalent experience required.
• Healthcare group practice experience preferred.
• Experience with data entry and office software desirable.
• Understanding of home care operations related to patient intake and ongoing care.
• Ability to prioritize tasks and work independently or in a team.
• Excellent customer service is essential.

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 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.
• Other duties as assigned.

Skills

Attention to detail

Customer service

Teamwork

Prioritization

Independent worker

Communication

Education

High School Diploma

Healthcare education or equivalent experience

Job description

TN Regional HomeCare
Murfreesboro, TN 37130, USA

Description

Insurance Preauthorization Clerk for our Murfreesboro, TN location
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.
• Other duties as assigned.

National HealthCare Corporationis recognized nationwide as an innovator in the delivery of quality long-term care. Our goal is to provide a full range of extended care services, designed to maximize the well-being and independence of patients of all ages. We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.

TheNHCenvironment is one of encouragement and challenge ... innovation and improvement ... teamwork and collaboration ... and honesty and integrity. All NHC employees are committed as partners, not only to the health of our patients, but to the well-being of the communities we serve.

If you are interested in working for a leader in senior careand share NHC's values of honesty and integrity

EOE

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

Preferred

Expert