Verification Authorization Coordinator

UnitedHealth Group; Baton Rouge (LA); Vor Ort; USD 22.000 - 31.000; Vollzeit

Zusammenfassung

UnitedHealth Group is seeking a Verification Authorization Coordinator to verify patient eligibility/benefits and obtain required authorizations for home care/hospice services. You will support departments by ensuring accurate, timely authorization processes and data entry in the EMR system.

The role requires high school completion and 2+ years in medical office or home health benefit verification or billing, with knowledge of insurance carriers' guidelines and billing terminology.

Qualifikationen

• Requires 2+ years of experience in medical office/home health benefit verification or billing.
• Demonstrated knowledge of commercial insurance carriers' verification, authorization, and reimbursement guidelines.
• Familiarity with insurance billing and terminology.

Aufgaben

• Review referral information for accuracy in EMR system.
• Obtain authorizations from payors while maintaining confidentiality regulations.
• Obtain authorization from private insurance and other payors via telephone, fax, or online systems.

Kenntnisse

Medical billing

Insurance knowledge

Billing terminology

Ausbildung

High school diploma or equivalent

Post-secondary education or training in medical billing/collections

Jobbeschreibung

Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care, we support patients and provide comfort through each stage of their health journey, while building trusted relationships along the way. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Verification Authorization Coordinator, you will be responsible for the verification of patient eligibility/benefits as well as obtaining authorizations, when required, for home care/hospice services from insurance payors.

Primary Responsibilities:

• Review referral information for accuracy in applicable EMR system supplied by the Care Center
• Obtain authorizations where required while maintaining compliance to medical record confidentiality regulations
• Obtain authorization from private insurance and all other payor sources requiring authorization via telephone, facsimile, or online systems while maintaining compliance to medical record confidentiality regulations
• Obtain information from agencies, when necessary, to assist with receiving authorizations and reauthorizations from private insurance and all other payor sources
• Assist other departments and Care Centers in the efficient collection of client and payor information to ensure accuracy
• Enter all patient benefit and authorization information into applicable EMR system
• Respond to calls, emails and other inquiries regarding the status of outstanding referrals and/or authorization information
• Provide other administrative support to the department as needed
• Complete Payor Information Form (PIF) and Payor Change Request Forms (PCR) when needed for the purpose of meeting payor and client's needs to ensure accurate reimbursement
• Update Contracting Coordinator of payor information changes
• Communicate efficiently, effectively, and timely to resolve issues pertaining to the verification and authorization processes
• Access Medicare's Common Working File (CWF) to verify eligibility in the event a patient has termed coverage with private insurance carrier if applicable
• Update Admissions Operations Manager and/or Director of needed team efficiencies and any system problems as they occur
• Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program
• Perform other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High school diploma or equivalent
• 2+ years of experience in medical office/home health benefit verification or billing
• Demonstrated knowledge of commercial insurance carriers' guidelines and criteria of verification, authorization, and reimbursement
• Demonstrated familiarity with insurance billing and terminology

Preferred Qualification:

• Post-Secondary Education or training in business or medical billing/collections

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $22.85 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.