Insurance Preauthorization Specialist - McMinnville, TN

AdamsPlace; McMinnville (TN); On-site; USD 30,000 - 45,000; Full time

Job summary

AdamsPlace in McMinnville, TN is seeking an Insurance Preauthorization Clerk to join their team. This role involves verifying and obtaining authorizations from insurance companies and communicating with patients regarding their insurance information.

The ideal candidate should possess a High School Diploma with at least one year of business or healthcare experience, along with excellent customer service skills. Strong attention to detail and the ability to work both independently and as part of a team are essential.

Qualifications

• Must have a High School Diploma.
• One year of relevant experience is required.
• Must be able to provide excellent customer service.

Responsibilities

• Verify and obtain authorizations from insurance companies.
• Enter all authorizations into the computer system in a timely manner.
• Work with clinical and billing staff on authorizations and claims.

Skills

Customer Service

Data Entry

Attention to Detail

Prioritizing Tasks

Education

High School Diploma

Business/Healthcare Education

Job description

Insurance Preauthorization Clerk

Insurance Preauthorization Clerk at NHC HomeCare in McMinnville, TN 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