Current jobs related to Authorization Specialist - Philadelphia - Care and Help Home Care
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Authorization Specialist
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Service Authorization Specialist
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Service Authorization Specialist
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Service Authorization Specialist
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Service Authorization Technician
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Service Authorization Technician
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Service Authorization Technician
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Service Authorization Specialist
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Pharmacy Technician
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Clinical Specialist
2 weeks ago
Philadelphia, Pennsylvania, United States Temple Health Full timePrecertification and Clinical Resource SpecialistTemple Health is seeking a highly skilled Precertification and Clinical Resource Specialist to join our team. As a key member of our PreCertification Department, you will serve as the primary clinical resource for handling complex authorization issues.Key Responsibilities: Clinically assess all adverse...
Authorization Specialist
2 months ago
About Care & Help Home Care
Care & Help Home Care is a reputable home healthcare provider dedicated to delivering exceptional, transparent, and professional home care services to seniors in the Philadelphia area. Our team of experienced caregivers and home health aides are thoroughly screened to provide non-skilled and non-medical services that cater to the unique needs of our clients.
Job Summary:The Authorization Specialist plays a pivotal role in ensuring seamless authorization processes for home care services. This individual will be responsible for accurately entering authorizations into our system, following up on missing authorizations, and verifying that all necessary authorizations are obtained before billing. The Authorization Specialist will collaborate closely with internal operations, external healthcare providers, and insurance companies to facilitate the authorization process efficiently and accurately.
Key Responsibilities:- Authorization Entry and Follow-up: Review and enter authorizations for home care services into our system accurately and promptly, and follow up on missing authorizations by contacting operations, clients, insurance companies, and healthcare providers to obtain necessary documentation.
- Authorization Monitoring and Coordination: Monitor the status of authorizations and eligibility in a timely manner, and follow up with insurance companies and healthcare providers as needed to expedite the approval process.
- Billing and Record-Keeping: Coordinate with the billing department to ensure that all authorized services are billed accurately and in a timely manner, and maintain detailed and accurate records of all authorizations, including documentation of communications and follow-up activities.
- Client Communication and Support: Communicate with operations regarding the status of client authorizations and provide assistance with any authorization-related questions or concerns.
- Research and Analysis: Assist with researching payments received from insurance companies as it relates to billing denials for authorization or eligibility items.
- Education and Experience: High school diploma or equivalent required; associate or bachelor's degree preferred. Minimum of 1-2 years of experience in a healthcare-related role, with specific experience in authorizations preferred.
- Skills and Abilities: Strong organizational skills and attention to detail, with the ability to manage multiple tasks and priorities simultaneously. Excellent communication skills, both written and verbal, with the ability to interact professionally with clients, healthcare providers, and insurance company representatives. Proficiency in using computer systems and software applications, including electronic medical records (EMR) systems and Microsoft Office Suite.
- Physical Demands: Prolonged periods of sitting at a desk and working on a computer. Prolonged periods of standing, bending, and reaching. Must be able to lift up to 50 pounds at times.
- On-site / Hybrid: Work in a dynamic and supportive environment with opportunities for growth and development.
