Payer Authorization & Benefits Specialist

ProHealth Home Health & Hospice; Centre (AL); On-site; USD 29,000 - 36,000; Full time

Job summary

ProHealth Home Health & Hospice in Centre, AL is seeking an Authorization and Benefit Clerk to perform verification for payers, obtain authorizations, and support intake and scheduling. You will be the first contact for internal and external staff, handling information and coordinating with billing as needed.

Requirements include a high school diploma or GED, basic medical terminology, strong computer skills (MS Office, Excel, Word, Outlook) and solid communication abilities.

Qualifications

• 1. H.S. Diploma or GED.
• 2. Previous experience with insurance verification/authorization preferred.
• 4. Computer skills including but not limited to MS Office, Excel, Word, Outlook, and Scheduling program(s).
• 5. Interpersonal, organizational and communication skills.
• 6. Ability to carry out directions, read and write.
• 7. Maturity and ability to deal effectively with the demands of the job.
• 8. Basic medical terminology.

Responsibilities

• 1. Verifying all payers assigned in a timely manner.
• 2. Managing and maintaining a professional relationship and communication with internal and external customers.
• 3. Obtaining authorization in a timely manner for all assigned payers that require authorization.
• 4. Follow up on any pending/outstanding authorization in a timely manner.
• 5. Maintaining office space and reception areas.
• 6. Work with billing on follow up for retro pre-cert, billing issues, and/or authorization denials.
• 7. Overseeing office and medical supply inventories.
• 8. Managing email and mail traffic timely.
• 9. Maintaining forms and packages as directed by supervisor.
• 10. Other duties as assigned.

Skills

Insurance verification

Authorization process

Scheduling

Communication

Interpersonal skills

Reading and writing

Maturity

Medical terminology

Education

High School Diploma or GED

Tools

MS Office

Excel

Word

Outlook

Scheduling software

Job description

ProHealth Home Health & Hospice in Centre, AL is seeking an Authorization and Benefit Clerk to perform verification for payers, obtain authorizations, and support intake and scheduling. You will be the first contact for internal and external staff, handling information and coordinating with billing as needed.

Requirements include a high school diploma or GED, basic medical terminology, strong computer skills (MS Office, Excel, Word, Outlook) and solid communication abilities.