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Authorization Specialist II
4 months ago
Overview:
You can apply by texting TSC to 97211
Now offering DailyPay Ask us about it
Are you looking for an exciting opportunity with an expanding home health care company? Are you eager to prove yourself, be valued and grow? It is in your best interest to apply and hear more about what we have to offer
Team Selects mission is to take every opportunity to do right by all. We believe our people and culture genuinely make us unique and are the foundation for our leadership in the healthcare space. We focus on promoting a collaborative environment that differentiates us and has allowed us to be recognized as a Best Place to Work and Home Care Elite Top Agency. Join our growing Team Select Family and discover a dynamic company where youre able to make a positive impact. We encourage you to inquire about becoming a part of our team
Responsibilities:Team Select Home Care is looking for an Authorization Specialist to join our Team Select family. The Authorization Specialist is a position that performs the authorization requests for all insurances. The Authorization Specialist reports directly to the RCM Manager.
- Check eligibility/benefits on patients.
o Upon intake if not previously done for all patients.
o Monthly on patients with non-Medicaid insurances and at the beginning of each month where prior authorization is not required.
- At the beginning of every new year, obtaining details on eligibility, patients deductible and out of pocket costs.
- Track and obtain all authorizations for all locations, along with re-authorization throughout duration of patient care.
- Data entering all authorization information into the system.
- Verify accuracy in payor setup in EMR for all active policies.
- Maintain electronic record of all authorizations.
- Run reports daily, weekly, and monthly for department.
- Communicate with our customers to ensure authorizations are used properly.
- Determine through eligibility and payer knowledge if TS can service a patient.
- Appeal denials by payer, including appeals through the health commission or applicable governing body.
- Perform other tasks as assigned.
- High school or GED diploma.
- Two years experience in health-related authorization and eligibility.
Our Benefits:
- Medical, dental, and vision insurance
- 401K
- Environment which fosters career opportunities and growth.
- DailyPay
Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age or any other status protected by law. Team Select Home Care is an employment-at-will employer.
