Home Healthcare Insurance Authorization Manager
3 weeks ago
Authorizations ManagerBecome a part of our caring community and help us put health first. As the Authorizations Manager, you will:Manage medical insurance authorizations and develop strategies to maximize profits and minimize loss.Ensure that maintenance strategies are within stated objectives.Interpret to customers and field personnel Company policies/practices/procedures related to billing processes and financial issues regarding non-clinical processes and clinical specifications impacting accounts receivable.Manage the analyses/report preparation of trends. Report information to appropriate line management.Assume responsibilities of Director, as assigned, during Director's absence.Prepare departmental budget and monitor expenses to ensure compliance with approved budgetary constraints.Develop department tools and training programs, along with the Training Specialist, to encourage growth and development. Analyze/monitors their implementation.Use your skills to make an impact.Required Experience/Skills:Bachelor's Degree preferredA minimum of five years healthcare related authorization experienceAt least three years in a management role generally requiredStrong knowledge of accounts receivables procedures and general accounting principles preferredExcellent organizational and verbal/written communication skillsAdditional Information:To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.Satellite, cellular and microwave connection can be used only if approved by leadership.Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:Health benefits effective day 1Paid time off, holidays, and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsCaregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunitiesTravel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours 40Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.About usAbout CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.
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