Change Order Specialist
4 weeks ago
Aveanna Healthcare is seeking a highly skilled and detail-oriented Change Order Representative to join our team.
Job Summary:
The Change Order Representative is responsible for reviewing changes on existing patient orders, ensuring accuracy and compliance with company policies and procedures.
Key Responsibilities:
- Verify insurance coverage and explain benefit information to patients and case managers
- Collect and process payments as applicable
- Identify patients' needs, clarify information, research every issue and provide solutions
- Responsible for authorization submissions and authorization follow up
- Responsible to determine a CRX and a valid prescription with formula calculation knowledge
- Insurance and payor portal navigation knowledge
- Meet daily, monthly, and quarterly metrics and goals set by management
- Communicate effectively with other departments to present solutions to any patient concerns
- Ensure work being performed meets internal and external compliance requirements
- Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations
Requirements:
- High school graduate
- A minimum of 2 years proven experience
- Proficient in Microsoft suite of products including Outlook, Word and Excel
Preferred Qualifications:
- Education or experience equivalent to a bachelor's degree in related field highly preferred
- Home Health/DME related experience preferred; knowledge of insurances a plus
Aveanna Healthcare:
Aveanna Healthcare is the largest provider of home care to thousands of patients and families. We are committed to delivering compassionate, committed care for medically fragile patients.
Why Join Us:
Aveanna Healthcare offers a competitive benefit package, including health, dental, vision, life insurance, and a 401(k) savings plan with employer match. We also offer a weekly stipend for in-office duties and opportunities for professional growth and development.
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