Prior Authorization Nurse

1 month ago

Wilmington, United States Caring Hearts Homecare Part time $35
Caring Hearts Homecare is looking to hire a part-time Nurse (RN or LPN) as a Prior Authorization Specialist, someone who is self-driven, responsible, organized, and pays attention to details.

Qualifications:
  • Must be a nurse RN or LPN.
  • Must have home care experience.
  • Have experience in Prior Authorization submission processes in Home Health Care.
  • Ability to work independently and manage time effectively.
  • Good computer skills.
Responsibilities include:
  • Assist in the completion of Prior Authorization document requests.
  • Review Prior Authorization documents for completion and accuracy.
  • Submit Prior Authorization requests to appropriate insurance companies for approval.
  • Track submitted PA requests.
  • Audit to ensure PAs are in place for all patients.
  • In charge of PA appeals and follow up on any additional requests for documents needed for PA approval.
  • Manage and maintain tracking PA tool.
  • Performs other duties as assigned.
Benefits Include: 
  • Competitive Pay.
  • $500 Sign-on bonus.

About Caring Hearts Homecare:Caring Hearts Homecare is a Medicare/Medicaid certified home health agency based in Wilmington MA. At Caring Hearts Homecare, we take a team approach in caring for our clients. By working with clients, families and physicians, our experienced and well trained team of clinicians are able to provide customized and  individualized high quality care that meet specific needs of each of our clients.

About Caring Hearts Homecare:

Caring Hearts Homecare is a Medicare/Medicaid certified home health agency based in Wilmington MA. At Caring Hearts Homecare, we take a team approach in caring for our clients. By working with clients, families and physicians, our experienced and well trained team of clinicians are able to provide customized and individualized high quality care that meet specific needs of each of our clients.

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