Home Health Authorization and Eligibility Coordinator

2 weeks ago

Tampa, Florida, United States Parx Home Health Care Full time
About the Role

We are seeking a highly skilled Home Health Authorization and Eligibility Specialist to join our team at Parx Home Care. As a key member of our team, you will play a vital role in ensuring that our clients receive the necessary home care services while maintaining compliance with payer requirements.

Key Responsibilities
  • Verify insurance eligibility and authorization for home health clients accurately and promptly.
  • Communicate payer authorization and eligibility information to team members and branch management.
  • Enter insurance authorization and eligibility details into relevant systems, ensuring accurate documentation.
  • Monitor and ensure compliance with payer requirements for client authorizations and services provided.
  • Maintain confidentiality of sensitive customer and company information while performing duties as a home health authorization specialist.
Requirements
  • Minimum of two years of experience in insurance authorization, billing, business administration.
  • At least one year of Home Health care experience preferred.
  • Knowledge of third party payer regulations including Medicare, Managed Medicare Care, and Veterans Affairs (VA) and private insurance.
  • Strong organizational skills and the ability to work independently with minimal supervision.
  • Demonstrates ability to make appropriate judgments as it relates to the payer authorization process.
  • Strong written and oral communication skills.
  • Knowledge of Microsoft Office, Including Teams, Word, and Excel.
Benefits
  • Health, Vision, Dental Benefits
  • CVS Virtual Care: Accessible Care, when and where people need it; includes Mental Health Counseling
  • 401K plus Employer Contribution
  • Teladoc: 24/7 Doctor Support (phone or video)
  • Voluntary Life Insurance
  • Critical Illness, Group Hospital Indemnity, Accident Insurance
  • LegalShield (Free Legal Advice)
  • IDShield (Identity Protection)
  • Pet Insurance
  • Flexible Spending Account/Health Savings Account
  • Commuter Benefits
  • Employee Assistance Program/Health Concierge Services
  • Working Advantage (Employee Discounts)
About Us

Our mission is to provide and restore client dignity and independence in their homes through individualized care plans to reduce caregiver role and stress on family members while avoiding nursing homes and assisted living facilities. At Parx Home Care, we recognize the pivotal role that home care plays in the overall patient care journey, offering a myriad of benefits for those seeking comfort, independence, and personalized attention. Our commitment is to create a familiar and secure environment within one's own home, fostering a profound sense of well-being. We understand the importance of maintaining independence, and our tailored home care services empower individuals to engage in their daily routines with the necessary assistance, promoting a sense of autonomy. Our personalized care plans are crafted to address unique needs, adapting over time to ensure ongoing relevance and effectiveness. Parx Home Care not only strives to be cost-effective but also places a strong emphasis on fostering family involvement, believing that strengthened bonds and emotional support are integral components of the healing process. At Parx Home Care and our affiliates, we're committed to creating a diverse, inclusive, and authentic workplace. If you're enthusiastic about the role but don't meet every qualification in the job description, we encourage you to apply. You could be the ideal candidate for this or other roles. Parx Home Care is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected under federal, state, or local law. Parx Home Care does not accept resumes from unsolicited search firms nor recruiters.

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