Insurance Authorization Coordinator

2 weeks ago

Stuart, Florida, United States VNA of Florida Full time
Job Overview

The Visiting Nurse Association of Florida is a service-oriented organization committed to excellence. We are looking for dedicated professionals to join our team.

Position Summary:

As an Insurance Authorization Coordinator, your primary responsibility will be to secure timely authorizations and verify insurance benefits. This includes contacting insurance providers to gather information regarding home health care benefits and assessing coverage options. You will also be responsible for acquiring initial and renewal authorizations while collaborating with the clinical team to ensure that all necessary medical documentation meets formulary guidelines.

Key Responsibilities:

  • Engage with health insurance companies to confirm patient benefits and ascertain prior authorization requirements, including details about deductibles, out-of-pocket maximums, and coinsurance.
  • Accurately enter and update patient benefit information in the EMR system, ensuring all records are precise.
  • Identify necessary documentation to support prior authorization requests and coordinate with the clinical team to obtain these documents if they are not already available.
  • Secure insurance authorizations prior to and during patient care, effectively communicating with insurance companies to resolve any authorization-related issues.
  • Re-verify existing patient insurance coverage and evaluate whether the insurance benefit plan aligns with the services required based on patient needs.
  • Exhibit proficiency in navigating various insurance companies and possess a comprehensive understanding of different coverage types and policies.
  • Demonstrate exceptional multitasking abilities, managing multiple patient charts simultaneously while maintaining a detail-oriented and organized approach to patient insurance records.
  • Process patient insurance verification requests for eligibility and authorization promptly and efficiently.
  • Utilize Availity and other insurance-specific portals to accurately verify insurance coverage and patient responsibilities.
  • Employ problem-solving skills to rectify any inaccuracies found in the EMR system through Availity, insurance portals, or direct communication with insurance providers.
  • Adhere to the company's OSHA, HIPAA, and compliance regulations.
  • Perform additional duties as assigned.

Qualifications:

  • Preferred experience in insurance verification/authorization: 1 year
  • Home health experience is a plus
  • Familiarity with portals such as Availity or other insurance-specific platforms is preferred
  • Strong ability to prioritize tasks and work effectively under pressure
  • Excellent time management skills
  • Proficient documentation skills

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