Prior Authorization Specialist

3 weeks ago


Wilmington, Delaware, United States Caring Hearts Homecare Full time

Caring Hearts Homecare is seeking a skilled Prior Authorization Nurse to join our team. As a Prior Authorization Specialist, you will play a crucial role in ensuring our patients receive the care they need by navigating the prior authorization process. Your expertise in home care and prior authorization submission processes will be invaluable in this position.

Responsibilities:
  • Assist in the completion of prior authorization document requests.
  • Review prior authorization documents for completion and accuracy.
  • Submit prior authorization requests to insurance companies for approval.
  • Track submitted PA requests.
  • Audit to ensure PAs are in place for all patients.
  • Manage and maintain tracking PA tool.
  • Perform other duties as assigned.
Requirements:
  • 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.
Benefits:
  • Competitive Pay.
  • $500 Sign-on bonus.

Caring Hearts Homecare is a Medicare/Medicaid certified home health agency based in Wilmington MA. We take a team approach in caring for our clients, working with clients, families, and physicians to provide customized and individualized high-quality care that meets the specific needs of each client.



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