Insurance Preauthorization Specialist - Greenville, SC

AdamsPlace; Greenville (SC); On-site; USD 30,000 - 40,000; Full time

Job summary

NHC HomeCare in Greenville, SC is seeking an Insurance Preauthorization Clerk. This role involves verifying and obtaining insurance authorizations for patients, ensuring effective communication with both patients and clinical staff.

The ideal candidate should have a High School Diploma, customer service experience, and the ability to manage authorization processes efficiently. Join our dedicated team to contribute to quality patient care.

Qualifications

• High School Diploma required.
• One year of business/healthcare education or equivalent experience needed.
• Experience in a group practice or healthcare system is preferred.

Responsibilities

• Verifying and obtaining insurance authorizations.
• Communicating with patients regarding updated insurance information.
• Entering authorizations into the NHC computer system in a timely manner.

Skills

Attention to detail

Excellent Customer Service

Ability to prioritize tasks

Education

High School Diploma

One year business/healthcare education or equivalent experience

Tools

Computer data entry skills

General office work experience

Job description

Insurance Preauthorization Clerk

NHC HomeCare in Greenville, SC 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 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 for 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 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