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Patient Authorization Coordinator

2 months ago

Buffalo, New York, United States Great Lakes Integrated Network, Inc. Full time
Job Overview

Position Summary:

The Insurance Authorization Specialist is tasked with providing essential onsite assistance at designated healthcare facilities, ensuring effective support for the screening team. This role involves the critical responsibility of verifying patient eligibility for admission and facilitating the submission of necessary documentation to insurance providers for treatment authorization. Additionally, the specialist will assess copayment amounts and any relevant information regarding patient financial obligations during their stay. This information will be communicated to the screening team and associated healthcare entities.

Key Responsibilities:

  • Receive and evaluate potential candidates for nursing home placement while confirming insurance coverage.
  • Submit required documentation to authorization entities to secure approval for patient stays.
  • Provide updates on authorization statuses, including both approvals and denials, to all relevant parties.
  • Engage with hospital personnel, including social workers and discharge planners, regarding patient discharge timelines.
  • Assist screening team members with various tasks as needed.
  • Research patient financial responsibility information and communicate findings to relevant teams.
  • Establish and nurture professional relationships with hospital staff.
  • This position requires onsite presence at a healthcare facility.

Qualifications:

  • 1-2 years of experience in the healthcare sector.
  • Preferred: Over 2 years of experience in insurance or authorization roles.
  • Preferred: Experience with long-term care reimbursement.

Essential Skills:

  • Strong verbal and written communication abilities.
  • Exceptional interpersonal and customer service skills.
  • Outstanding organizational skills and meticulous attention to detail.
  • Proficient time management skills with a proven track record of meeting deadlines.
  • Robust analytical and problem-solving capabilities.
  • Effective project management skills.
  • Adept at prioritizing tasks and delegating when necessary.
  • Ability to thrive in a fast-paced and occasionally high-pressure environment.
  • Proficiency in Microsoft Office Suite and familiarity with Point Click Care is highly preferred.

We provide a comprehensive benefits package that includes health, dental, 401K, vacation, and paid time off, alongside a supportive work environment.

Equal Employment Opportunity:

Great Lakes Integrated Network (GLIN) is committed to fostering a culture that promotes individual growth, embraces diversity, and values innovative excellence. We prioritize creating an inclusive workplace where all staff members feel valued and engaged.

Great Lakes Integrated Network is an Equal Opportunity Employer.