Insurance Preauthorization Specialist

NHC HealthCare, Charleston; Panama City (FL); On-site; USD 35,000 - 50,000; Full time

Job summary

NHC HealthCare, Charleston is hiring an Insurance Preauthorization Specialist in Panama City, FL. The specialist verifies and obtains necessary authorizations from insurance companies, ensuring smooth processing of patient care.

The ideal candidate will possess a High School Diploma, customer service skills, and the ability to work independently while prioritizing tasks. Responsibilities include entering authorizations into the system, assisting clinical staff, and maintaining effective communication with team members.

Join NHC to work in an innovative environment committed to high-quality care and community health.

Qualifications

• High School Diploma required.
• One year business/healthcare education or equivalent experience.
• Preferred experience in group practice or healthcare system.

Responsibilities

• Verify and obtain authorizations from insurance companies.
• Enter authorizations into the NHC computer system.
• Communicate with clinical staff regarding authorizations.

Skills

Customer Service

Attention to Detail

Task Prioritization

Education

High School Diploma

Business/Healthcare Education

Job description

Insurance Preauthorization Specialist - Panama City, FL

NHC HomeCare FL Regional Office 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

• 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 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.

National HealthCare Corporation is 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.

The NHC environment 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.

EOE