Strategic Home Health Authorization Specialist

Ohio Living; Westerville (OH); Sur place; USD 45 000 - 62 000; Plein temps

Résumé du poste

Ohio Living in Westerville, OH is seeking a Central Authorization Coordinator to verify and manage authorizations for home health and hospice services. You’ll coordinate with sites, manage documentation, and ensure accurate billing information in the workflow system.

Strong experience in insurance/billing and healthcare settings is required, with preference for Medicare/Medicaid familiarity. Proficiency with Windows and MS Office is essential; weekend or extended coverage may be required.

Qualifications

• High school diploma or equivalent required.
• Experience in insurance and billing required.
• Experience in long-term care, hospital, or healthcare accounting preferred.
• Experience with Medicare Advantage and Medicaid eligibility preferred.
• Proficiency with Windows, Microsoft Office and the internet required.

Responsabilités

• Authorization Verification and Management: process authorizations for home health and hospice services with accuracy.
• Prepare and submit authorizations via payer portals or fax; update workflow software with status changes.
• Coordinate recertifications and verify patient eligibility monthly; communicate with sites and billing staff.
• Appeal Tracking and Administration: manage ADR logs and communicates with coordinators.
• Data Entry: create facesheets, ensure demographic and billing data accuracy, and enter authorization numbers.
• All other duties as assigned.

Connaissances

English language proficiency

Formation

High school diploma or equivalent

Outils

Windows

Microsoft Office

Description du poste

Ohio Living in Westerville, OH is seeking a Central Authorization Coordinator to verify and manage authorizations for home health and hospice services. You’ll coordinate with sites, manage documentation, and ensure accurate billing information in the workflow system.

Strong experience in insurance/billing and healthcare settings is required, with preference for Medicare/Medicaid familiarity. Proficiency with Windows and MS Office is essential; weekend or extended coverage may be required.