Authorization Specialist

7 days ago

Oldsmar, Florida, United States Pinnacle Home Care Full time
{"title": "Authorization Coordinator", "description": "Job Summary

Pinnacle Home Care is seeking a skilled Authorization Coordinator to join our team. As a key member of our home health care team, you will be responsible for coordinating and processing patient authorizations to completion with precision, detail, and accuracy.

Key Responsibilities
  • Complete final episode billing audits
  • Assist with all final billing, including Medicare and Non-Medicare bills
  • Assist with billing audits and order tracking as needed
  • Provide ongoing follow-up on delayed reimbursement
  • Review and correct billing errors in a timely manner
  • Assist with insurance authorizations as needed
  • Coordinate and process patient authorization to completion with precision, detail, and accuracy
  • Be detail-oriented, possess the ability to multi-task, and be open to cross-functionally training in all departments
  • Meet productivity goals as assigned by the Authorization Supervisor
  • Maintain confidentiality of all patient information. Comply with all state and local laws and regulations. Adhere to established confidentiality standards as required by Pinnacle Home Care
  • Obtain and track all authorization and re-authorization as indicated by payer(s), and scheduled visits for services ordered/requested in a timely manner
  • Communicate with branches and eligibility when patient insurance has changed
  • Comply with HIPAA regulations on all accounts
  • Respond to all inquiries with a resolution to concerns and or discrepancies
  • Follow Pinnacle Home Care's Attendance Policy
Requirements
  • One year of medical office experience is preferred. Home health experience is desirable
About Pinnacle Home Care

Pinnacle Home Care is a Medicare Certified and Florida Licensed full-service clinically owned and operated health care company, led by professionals who are passionate about delivering Exceptional Outcomes and quality care Beyond Expectation to patients, referral partners, staff and the communities that we serve.

", "lang_code": "en-US"}

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