Verification Authorization Coordinator

Socket.dev; Louisiana (MO); Hybrid; USD 23,000 - 28,000; Full time

Benefits offered by this job

Full benefits package

Paid time off

Healthcare services through HSA/PPO

Wellness rewards program

401(k) with company match

Job summary

Amedisys is seeking an experienced healthcare benefits verifier to support the home health team with accurate insurance verification, authorizations, and billing processes. You will enter patient benefit data into the EMR, respond to inquiries, and coordinate with care centers to ensure smooth re-authorizations and accurate payor information.

The role requires two years in a medical office or home health setting, familiarity with carriers' guidelines, and strong billing terminology.

Qualifications

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

Responsibilities

• Review referral information for accuracy in the applicable EMR system supplied by the care center.
• Obtain authorizations where required while maintaining compliance with medical record confidentiality regulations.
• Obtain information from agencies when necessary to assist with receiving authorizations and re-authorizations 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 the 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.
• Performs other duties as assigned.

Skills

Insurance verification

Authorization knowledge

Billing terminology

Medical office experience

Education

High school diploma or equivalent

Post-secondary education or training in business or medical billing/collections

Job description

Overview

Are you looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S.

Attractive pay

• $17.00 - $20.00/hr

What's in it for you

• A full benefits package with choice of affordable PPO or HSA medical plans.
• Paid time off.
• Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.
• Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.*
• Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.
• 401(k) with a company match.
• Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.
• Fleet vehicle program (restrictions apply) and mileage reimbursement.
• And more.

Please note: Benefit eligibility can vary by position depending on shift status.

*To participate, you must be enrolled in an Amedisys medical plan.

Responsibilities

• Review referral information for accuracy in the applicable EMR system supplied by the care center.
• Obtain authorizations where required while maintaining compliance with medical record confidentiality regulations.
• Obtain information from agencies when necessary to assist with receiving authorizations and re-authorizations 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 the 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.
• Performs other duties as assigned.

Qualifications

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

Preferred

• Post-secondary education or training in business or medical billing/collections.

Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.

Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.