Insurance and Authorization Specialist

3 weeks ago

Ozark, United States CareerBuilder Full time

Insurance and Authorization Specialist
Ozark, MO

Come work for the healthcare agency with the highest happiness rating on Indeed (4.8/5) Haven is currently looking for an experienced Insurance and Authorization Specialist to make a difference in our community. Haven is family-owned and operated by local clinicians who understand your passion to help others and have insight into your needs as a professional.

Job Summary:

We are looking for an in-office Insurance and Authorization Specialist who will work with Intake and Agency teammates and any external authorization and verification vendors to ensure our processes and workflows are executed efficiently so that our patient goals are achieved and revenue maximized. You will guarantee internal and external team and customer satisfaction through great communication, data efficiency, and capturing reimbursement.

Duties and Responsibilities include but are not limited to:

Accurateand timely completion ofinsurance verifications by contacting the provided insurance via phone, fax, or online portal to obtain benefits, eligibility, and authorization information.
Address and respond to authorization or verification-related queries.
Timely submission of authorization requestswhile following payer-specific guidelines.
Ensure all authorization and verification-related denials are addressed timely and accurately, providing denial prevention feedback to Intake and agency as required.
Work with billing contractors to resolve billing issues.
Complete medical records requests.
Assist in ADR's and denial appeals.
Complete monthly eligibility verification and partner with the Haven team to ensure follow-up is completed for ineligible results.
Qualifications, Knowledge, Skills, and Abilities:

Must have experience with Home Health Intake and/or insurance verification
Demonstrate flexibility in responding to priorities and organizational change
Ability to work under time constraints and follow through on assignments
Minimum of 2 years' experience with medical insurance billing and authorizations required
Proficient multi-tasker and efficient at prioritizing timelines
Customer service experience with good written and verbal communication skills
Solution-focused mindset, great critical thinking and analytical skills

As an Insurance and Authorization Specialist with Haven, you will support our core values of dedication to clarity through honest communication, being accountable and committed, doing what is right not what is easy, being forward focused, working in the same direction, and seeking personal and professional growth.
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